Percutaneous transcatheter device closure of a congenital left ventricular diverticulum in a 5-year-old child

Ventricular diverticulum is a rare congenital malformation. Although most patients are asymptomatic, it can present with rupture and sudden death, for which surgical repair is indicated. The authors report the case of a 5-year-old boy with a prenatal diagnosis of an isolated left ventricular diverticulum. It was decided for surgical closure; however, a persisting leakage at the patch repair site was observed, for which a transcatheter percutaneous closure approach was used, achieving complete occlusion of the defect. Transcatheter closure of suitable ventricular diverticula is a safe and effective option.

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Transapical transcatheter device closure of relapse left ventricular diverticulum: a novel minimally invasive technique for reoperation

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-016-0546-4 ◽

2016 ◽

Vol 11 (1) ◽

Cited By ~ 1

Author(s):

Weizhi Zhang ◽

Lei Gao ◽

Yifeng Yang ◽

Tianli Zhao

Keyword(s):

Minimally Invasive ◽

Left Ventricular ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Device Closure ◽

Ventricular Diverticulum ◽

Left Ventricular Diverticulum ◽

Transcatheter Device

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Isolated supravalvular aortic stenosis with left ventricular diverticulum and cleft mitral valve: Surgical repair in adulthood

Journal of the Saudi Heart Association ◽

10.1016/j.jsha.2017.03.002 ◽

2017 ◽

Vol 29 (4) ◽

pp. 300-304 ◽

Cited By ~ 1

Author(s):

U.M. Nagamalesh ◽

Ravi Shankar Shetty ◽

Ravi Narayan ◽

Anil Kumar ◽

Ravi Naik ◽

...

Keyword(s):

Mitral Valve ◽

Aortic Stenosis ◽

Surgical Repair ◽

Left Ventricular ◽

Supravalvular Aortic Stenosis ◽

Ventricular Diverticulum ◽

Left Ventricular Diverticulum

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Transcatheter closure of a residual aorto-left ventricular tunnel: report of a case with a 6-year follow-up

Cardiology in the Young ◽

10.1017/s1047951117000701 ◽

2017 ◽

Vol 27 (8) ◽

pp. 1618-1621

Author(s):

Milan Djukic ◽

Stefan A. Djordjevic ◽

Ingo Dähnert

Keyword(s):

Aortic Valve ◽

Surgical Repair ◽

Transcatheter Closure ◽

Left Ventricular ◽

Aortic Valve Insufficiency ◽

Amplatzer Duct Occluder ◽

Cardiac Defect ◽

Surgical Closure ◽

Valve Insufficiency

AbstractAorto-left ventricular tunnel is an exceedingly rare congenital cardiac defect. Early surgical closure is the treatment of choice. Residual or recurrent tunnel and aortic valve insufficiency are well-recognised complications after surgical repair. In this article, we report on successful transcatheter closure of a residual aorto-left ventricular tunnel using an Amplatzer duct occluder in a 7-year-old boy. The outcome after 6 years of follow-up is encouraging.

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A Case of Neonatal Heart Failure Caused by Left Ventricular Diverticulum: Successful ECMO Support Application

The Heart Surgery Forum ◽

10.1532/hsf.1530 ◽

2016 ◽

Vol 19 (4) ◽

pp. 189

Author(s):

Ugur Gocen ◽

Atakan Atalay ◽

Orhan Kemal Salih

Keyword(s):

Heart Failure ◽

Left Ventricular ◽

Ecmo Support ◽

Cardiac Anomaly ◽

Low Cardiac Output Syndrome ◽

Ventricular Diverticulum ◽

Endoventricular Circular Patch Plasty ◽

Echocardiographic Examination ◽

Left Ventricular Diverticulum ◽

Patch Plasty

Congenital left ventricular diverticulum is a rare cardiac anomaly. During the newborn period, symptomatic patients are diagnosed with heart failure findings. We present a 23-day-old male newborn with congenital left ventricular diverticulum diagnosed during fetal echocardiographic examination. After the birth, the patient had heart failure symptoms and his echocardiographic examination showed low cardiac ejection fraction. Diverticulum was operated with endoventricular circular patch plasty (DOR) technique, and after, cardiopulmonary bypass venoarterial extracorporeal membrane oxygenation (ECMO) support was performed because of low cardiac output syndrome. On postoperative day 17, he was discharged with no problem.

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Acute Changes in Left Ventricular End Diastolic Pressure following the Transcatheter Closure of an Atrial Septal Defect in Adults

The Heart Surgery Forum ◽

10.1532/hsf.1442 ◽

2016 ◽

Vol 19 (3) ◽

pp. 145 ◽

Cited By ~ 1

Author(s):

Young Hwa Kong ◽

Jinyoung Song ◽

Kyung Hee Kim ◽

June Huh ◽

I-Seok Kang

Keyword(s):

Elderly Patients ◽

Atrial Septal Defect ◽

Septal Defect ◽

Transcatheter Closure ◽

Diastolic Pressure ◽

Left Ventricular Diastolic Function ◽

Left Ventricular ◽

Device Closure ◽

Acute Changes ◽

Asd Closure

Background: Acute changes in left ventricular diastolic function shortly after ASD closure in elderly patients have not been well known. We aimed to investigate acute changes in left ventricular end diastolic pressure (LVEDP) in elderly patients following transcatheter closure of atrial septal defect (ASD). Methods: All 19 adults with ASDs who underwent transcatheter closure between June 2013 and December 2014 were enrolled. LVEDP was measured prior to device closure and compared with that immediately following device closure and 15 minutes after device closure. Results: The median age of the patients was 48 years old. The baseline E/e’ and LVEDP values were 8.3 ± 2.8 and 13 ± 3 mmHg. The LVEDP value immediately following closure was 19 ± 4 mmHg, and 15 minutes after closure was 16 ± 4 mmHg. The median increase in the LVEDP value immediately following closure was 6 mmHg, which significantly differed from that prior to closure. The LVEDP 15 minutes after closure decreased but remained significantly higher than the value observed immediately after closure. No significant changes were observed with regard to E/e’ at either 1 day or 3 months following closure. The LVEDP value 15 minutes after device closure was significantly correlated with those observed before closure and immediately following closure; however, no significant correlations were observed with regard to patient age, Qp/Qs, E/e’ before closure, or E/e’ 3 months after device closure. Conclusion: LVEDP in adults with ASDs significantly increases following device closure. LVEDP before closure predicts LVEDP following device closure.

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