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Use of Unique Doppler Flow‐Pattern for the Diagnosis of Left Ventricular Diverticulum
Author(s) -
Shafter Ahmed M.,
Mukherjee Ashish,
Sethi Prabhdeep,
Pai Ramdas G.
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13164
Subject(s) - diverticulum (mollusc) , doppler effect , cardiology , medicine , flow (mathematics) , doppler echocardiography , radiology , physics , mechanics , astronomy , blood pressure , diastole
Isolated congenital left ventricular diverticulum ( LV ) is reportedly a rare finding. It is frequently associated with other congenital defects involving heart, pericardium, sternum, diaphragm, and abdominal wall. It is an outpouching from the ventricle and has all three layers of left ventricular free walls. We present the case of a 53‐year‐old woman who was discovered to have an outpouching of the LV apex on a nongated chest CT scan raising possibility of a pseudoaneurysm. A transesophageal echocardiogram ( TEE ) showed systolic diminution of this outpouching with unique Doppler flow‐patterns suggesting a diagnosis of a muscular type of LV diverticulum instead of a postinfarct LV pseudoaneurysm. The patient was reassured and treated conservatively.