Claus Isabelle, Adriaenssens Bert, Van Beeumen Katarina, Timmers Liesbeth, Bové Thierry
Department of Cardiac Surgery, UZ Gent, Ghent, Belgium.
Department of Cardiology, AZ Nikolaas, Sint-Niklaas, Belgium.
J Card Surg. 2020 Apr;35(4):926-929. doi: 10.1111/jocs.14464. Epub 2020 Feb 17.
Congenital left ventricular diverticula are rare cardiac malformations that usually remain asymptomatic. However, life-threatening complications as ventricular arrhythmias, systemic embolism, spontaneous rupture and development of valvular regurgitation, are described. Diagnosis is based on excluding coronary artery disease, traumatic or inflammatory causes, and other underlying cardiomyopathies. Treatment is directed towards the potential complications, yielding mainly therapy of ventricular arrhythmia. Surgical resection is required for larger-sized congenital aneurysms with adverse hemodynamic effects. We present two cases of a left ventricular diverticulum causing cardiac arrhythmia which led to further surgical treatment.
先天性左心室憩室是一种罕见的心脏畸形，通常无症状。然而，也有危及生命的并发症的描述，如室性心律失常、系统性栓塞、自发性破裂和瓣膜反流的发展。诊断基于排除冠状动脉疾病、创伤性或炎症性病因以及其他潜在的心肌病。治疗针对潜在的并发症，主要是室性心律失常的治疗。对于具有不良血流动力学影响的较大先天性动脉瘤，需要进行手术切除。我们报告两例因左心室憩室导致心律失常并进而接受手术治疗的病例。
