An unfortunate case of subaortic left ventricular diverticulum

P Vinodh Kumar; Asha Moorthy

doi:10.1016/j.ihj.2015.11.021

An unfortunate case of subaortic left ventricular diverticulum

Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S110-S113. doi: 10.1016/j.ihj.2015.11.021. Epub 2015 Dec 20.

Authors

P Vinodh Kumar¹, Asha Moorthy²

Affiliations

¹ Assistant Professor, Department of Cardiology, Saveetha Medical College, Thandalam, Tamil Nadu, India. Electronic address: [email protected].
² Professor and Head of the Department, Department of Cardiology, Saveetha Medical College, Thandalam, Tamil Nadu, India.

Abstract

A 38-year-old man presented with exertional angina of 1-year duration. Treadmill was strongly positive. Coronary angiogram revealed a significant phasic systolic compression of the left main and the proximal left circumflex artery. Echo and MRI revealed a subaortic left ventricle diverticulum causing compression of the coronary vessels. Before the planned surgery, the patient had sudden deterioration with cardiogenic shock and could not be saved.

Keywords: Coronary artery compression; LV diverticulum; Subaortic.

Publication types

Case Reports

MeSH terms

Adult
Angina Pectoris / etiology
Aorta / diagnostic imaging
Coronary Angiography
Coronary Stenosis / complications
Coronary Stenosis / diagnostic imaging*
Coronary Vessels / diagnostic imaging
Diverticulum / complications
Diverticulum / diagnostic imaging*
Echocardiography
Fatal Outcome
Heart Diseases / diagnostic imaging*
Heart Ventricles / diagnostic imaging*
Humans
Magnetic Resonance Imaging
Male