Two infants presented with congenital cardiac diverticula, including one with a submitral valvular diverticulum and another with an isolated apical diverticulum who underwent successful mitral valve replacement.
Case Report (n=2)
Highlights the rare presentation of congenital left ventricular diverticula and its potential association with congenital mitral disease requiring surgical intervention.
Of two infants with congenital cardiac diverticula one had a defect consisting of a submitral valvular diverticulum rather than the expected aneurysm. It was clearly shown by echocardiography as well as angiography and was associated with moderate mitral incompetence and a poorly functioning left ventricular wall. The second infant had an isolated apical left ventricular diverticulum with subnormal left ventricular function and severe mitral incompetence. Because of intractable congestive heart failure this infant underwent successful replacement of a dysplastic fibrotic mitral valve which on histological examination had myxomatous features. The association between congenital mitral disease and congenital apical diverticular may be related to race and sex.
M.K. Mardini (1984) conducted a case report in Congenital diverticulum of the left ventricle (n=2). Two infants presented with congenital cardiac diverticula, including one with a submitral valvular diverticulum and another with an isolated apical diverticulum who underwent successful mitral valve replacement.