Key result
Partial resection of a congenital LV diverticulum leaves infant asymptomatic with normal function at 8 months.
Why the study?
Congenital left ventricular diverticulum is a rare malformation usually requiring total resection, but alternative surgical approaches for large diverticula with wide ventricular connections are not well described.
Does partial resection improve outcomes in an infant with a large congenital left ventricular diverticulum?
Case Report (n=1)
No
Does partial resection improve outcomes in an infant with a large congenital left ventricular diverticulum?
Partial resection is a safe and effective option for infants with a large congenital left ventricular diverticulum and a wide ventricular connection.
Answers are grounded in this paper and cite their sources.
Supports partial resection feasibility in select infants; leaves open need for prospective data on long-term outcomes.
BACKGROUND: Congenital left ventricular diverticulum is a rare cardiac malformation usually requiring total resection. CASE PRESENTATION: This report describes an infant presenting with a large apical diverticulum with a wide ventricle connection. Given the vicinity of the left anterior descending coronary artery to the diverticulum and its wide ventricular connection, partial resection was undertaken. The patient remained asymptomatic with good heart function 8 months after surgery. The last follow-up echocardiography did not demonstrate any significant left ventricular outpouching. CONCLUSIONS: We advocate early treatment of left ventricular diverticulum in children given the risk of spontaneous rupture of diverticulum, sudden death, and other serious complications if left untreated. For small patients with a wide connection of diverticulum to ventricle, partial resection is a safe option with favorable short-term outcomes.
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Fang et al. (2020) conducted a case report in Congenital left ventricular diverticulum (n=1). Partial surgical resection was evaluated on Clinical outcome and heart function. Partial surgical resection of a large congenital left ventricular diverticulum with a wide connection in a 9-month-old infant resulted in good heart function and no symptoms at 8 months follow-up.
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