P877 Multiple diverticula of left ventricule - rare atypical picture finded in asymptomatic patient

Abstract We report the case of 74 years old asymptomatic patient, who was initially sent for a transthoracic echocardiography examination, because of a new changes on his ECG - RBBB with LAH. We found atypical multiple aneurysmatic formations. Ischemic heart disease as a probable cause was suspected...

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Published in:European heart journal cardiovascular imaging 2020-01, Vol.21 (Supplement_1)
Main Authors: Rezek, M, Groch, L, Moravcova, H
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Groch, L
Moravcova, H
description Abstract We report the case of 74 years old asymptomatic patient, who was initially sent for a transthoracic echocardiography examination, because of a new changes on his ECG - RBBB with LAH. We found atypical multiple aneurysmatic formations. Ischemic heart disease as a probable cause was suspected. The patient underwent a coronary angiography, where we found a critical stenosis of LAD and RCA. Both stenosis were treated by PCI. Atypical aneurysmatic ventricular changes were confirmed by left ventriculography and this picture didn’t correspond with ischemic cardiomyopathy. MRI confirmed multiple aneurysmatic formations of left ventricle, but without scars or fibrotic changes in aneurysmal parts of LV. The patient remained asymptomatic and our final diagnosis was multiple left ventricle diverticula - probably a congenital heart disease. The picture on echocardiography and MRI and patients clinical status remains unchanged in follow-up. LV diverticula are very rare finding and its multiple form in aged asymptomatic adult is rather very unique. MRI is crucial in differential diagnosis with ischemic aneurysmal changes and this is nicely demonstrated in our case. Abstract P877 Figure. LV ventriculography
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We found atypical multiple aneurysmatic formations. Ischemic heart disease as a probable cause was suspected. The patient underwent a coronary angiography, where we found a critical stenosis of LAD and RCA. Both stenosis were treated by PCI. Atypical aneurysmatic ventricular changes were confirmed by left ventriculography and this picture didn’t correspond with ischemic cardiomyopathy. MRI confirmed multiple aneurysmatic formations of left ventricle, but without scars or fibrotic changes in aneurysmal parts of LV. The patient remained asymptomatic and our final diagnosis was multiple left ventricle diverticula - probably a congenital heart disease. The picture on echocardiography and MRI and patients clinical status remains unchanged in follow-up. LV diverticula are very rare finding and its multiple form in aged asymptomatic adult is rather very unique. MRI is crucial in differential diagnosis with ischemic aneurysmal changes and this is nicely demonstrated in our case. 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Ischemic heart disease as a probable cause was suspected. The patient underwent a coronary angiography, where we found a critical stenosis of LAD and RCA. Both stenosis were treated by PCI. Atypical aneurysmatic ventricular changes were confirmed by left ventriculography and this picture didn’t correspond with ischemic cardiomyopathy. MRI confirmed multiple aneurysmatic formations of left ventricle, but without scars or fibrotic changes in aneurysmal parts of LV. The patient remained asymptomatic and our final diagnosis was multiple left ventricle diverticula - probably a congenital heart disease. The picture on echocardiography and MRI and patients clinical status remains unchanged in follow-up. LV diverticula are very rare finding and its multiple form in aged asymptomatic adult is rather very unique. MRI is crucial in differential diagnosis with ischemic aneurysmal changes and this is nicely demonstrated in our case. Abstract P877 Figure. 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Abstract P877 Figure. LV ventriculography</abstract><pub>Oxford University Press</pub><doi>10.1093/ehjci/jez319.520</doi><oa>free_for_read</oa></addata></record>
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title P877 Multiple diverticula of left ventricule - rare atypical picture finded in asymptomatic patient
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