Quiroz Alfaro Alejandro J, Rodríguez Acosta Iván J, Gutiérrez Noguera María P, Pinto Quiroz José G
Intensive Care Unit, Clinica Erasmo, Valledupar, COL.
Medicina y ciencias de la salud, Universidad Colegio Mayor de Nuestra Señora del Rosario, Bogotá D.C, COL.
Cureus. 2022 Apr 28;14(4):e24553. doi: 10.7759/cureus.24553. eCollection 2022 Apr.
Left ventricular diverticulum is a rare cardiac congenital anomaly. It is believed to be caused by the impaired development of the endocardial tube during the fourth week of embryologic development. It contains endocardium, myocardium, and pericardium and displays normal contraction. We hereby report a case of a patient with a left ventricular apical diverticulum who presented with unstable angina and was initially misdiagnosed as a ventricular septal defect. Since there were no complications or symptoms associated with the anomaly, the management was conservative. This manuscript also highlights the importance of using multiple diagnostic imaging modalities to exclude differential diagnoses.
左心室憩室是一种罕见的先天性心脏异常。据信它是由胚胎发育第四周心内膜管发育受损引起的。它包含心内膜、心肌和心包，并表现出正常收缩。我们在此报告一例左心室心尖部憩室患者，该患者表现为不稳定型心绞痛，最初被误诊为室间隔缺损。由于该异常未伴有并发症或症状，故采取保守治疗。本文还强调了使用多种诊断成像方式以排除鉴别诊断的重要性。
