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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
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CLEAR FILTERS
A rare case of giant submitral left ventricular diverticulum
Session:
Sessão de Casos de Imagem II
Speaker:
Tatiana Guimarães
Congress:
CPC 2018
Topic:
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Theme:
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Subtheme:
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Session Type:
Sessão de Casos de Imagem
FP Number:
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Authors:
Tatiana Guimarães; Patricia Barros; Susana Gonçalves; Paula Campos; Ana G. Almeida; Fausto José Pinto
Abstract
<p>A 36-year-old Guinean woman was referred to our centre for a closer examination of systolic murmur. She had no cardiovascular complaints. Echocardiographic examinations depicted a large sacular structure at the left ventricular posterior wall in the submitral region. There was paradoxical contraction with no evidence of thrombus at its distal end. The outpouching structure was connected to the left ventricle (LV) through a large neck. In diastole, blood flowed from the LV into the cavity, and in systole blood flowed from the cavity into the LV. These findings indicate that this cavity itself contracts. No other cardiac abnormalities were found. To better delineate the whole shape of the cavity and its relation with the LV chambrer, a computed tomographic (CT) scan was requested. It allowed precise measurement of the outpouching structure (9x7 cm), delineation of its morphology and excluded coronary artery disease. To confirm whether the wall of the cavity consists of muscle, cardiac magnetic resonance (CMR) was performed. We could clearly confirm that the wall of the cavity consisted of muscle with no fibrosis. A diagnosis of congenital large submitral left ventricular diverticulum was made. The patient refused surgery and is followed at our cardiology clinic. </p>
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