Moormann M, Vollroth M, Lacher M, Stepan H, Gräfe D, Thome U, Rützel S, Weidenbach M, Martynov I, Pügge C
Department of Pediatric Surgery, Leipzig University, Leipzig, Germany.
Department of Cardiac Surgery, Heart Center, Leipzig University, Leipzig, Germany.
European J Pediatr Surg Rep. 2024 Oct 3;12(1):e54-e57. doi: 10.1055/s-0044-1791569. eCollection 2024 Jan.
Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations. We report on a female neonate with prenatally diagnosed heterotaxia and dextrocardia who was born with a pulsating supraumbilical mass. Echocardiography revealed a diverticulum originating from the left ventricle, which was connected to the umbilicus. Magnetic resonance imaging confirmed an LVD without evidence of a diaphragmatic hernia on the day of life 9. The child underwent laparotomy/lower sternotomy, and the diverticulum and epigastric hernia were closed. The postoperative course was uneventful, and the girl was discharged on the 10th postoperative day. In a neonate with a pulsatile supraumbilical mass, the diagnosis of a congenital LVD should be taken into consideration. The treatment is straightforward and was successful in this single case.
左心室憩室（LVD）是一种罕见的畸形，在所有先天性心脏异常中占0.05%。它与其他心脏和心外畸形有关。我们报告一例产前诊断为内脏反位和右位心的女新生儿，出生时脐上有搏动性肿块。超声心动图显示一个起源于左心室并与脐相连的憩室。磁共振成像在出生后第9天证实为左心室憩室，无膈疝证据。患儿接受了剖腹术/下部胸骨切开术，憩室和上腹疝得以闭合。术后过程顺利，女孩术后第10天出院。对于有搏动性脐上肿块的新生儿，应考虑先天性左心室憩室的诊断。治疗方法简单直接，本病例治疗成功。
