Ectopic left ventricular apical diverticulum

A 3-day-old male child was referred to us for evaluation of pulsatile mass in epigastrium. Examination showed long tubular mass —diverticulum like—in epigastrium, pulsating in synchrony with cardiac motion. Baby was acyanotic with saturation of 96%. Electrocardiogram was unremarkable with sinus rhythm. Chest X-ray showed situs solitus with levocardia without any skeletal abnormalities like cleft sternum. Echocardiography showed left ventricular apical diverticulum with systolic flow into diverticulum and diastolic jet towards left ventricular cavity along with a small subaortic ventricular septal defect and a small atrial septal defect. Computed tomography and magnetic resonance images confirmed the echocardiograph ic findings of left ventricular apical diverticulum as a cause of pulsatile epigastric mass. There was no diaphragmatic defect or sternal cleft or any other midline structure herniation or defects—a common associations of Cantrell’s pentalogy.
Source: European Heart Journal - Category: Cardiology Source Type: research