PMC6252185_01
A left ventricular diverticulum extending from the left ventricular apex in a 5-and-1/2-month-old child with dextrocardia and Tetralogy of Fallot.
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fig1
After median sternotomy, a diverticulum was noted to be extending from the left ventricular apex tracking down the anterior abdominal wall (Figure 1). The left ventricular diverticulum was dissected out to the umbilicus and delivered into the chest with gentle traction and revealed a fingerlike pouch contracting synchronously with the left ventricle (Figure 2 and Video 1).
A left ventricular apical diverticulum contracting synchronously with the left ventricle.
CRIC2018-5839432.002.jpg
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fig2
The left ventricular diverticulum was dissected out to the umbilicus and delivered into the chest with gentle traction and revealed a fingerlike pouch contracting synchronously with the left ventricle (Figure 2 and Video 1).
PMC6252185_02
A preoperative transthoracic echocardiography demonstrating a left ventricular apical diverticulum (arrow) not noted at the time of examination.
CRIC2018-5839432.003.jpg
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fig3
Review of the preoperative transthoracic echocardiography revealed a contractile pouch extending from the apex of the left ventricle and contracting synchronously with it (Figure 3).