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June 10, 1988, Vol 259, No. 22 >
ARTICLE | June 10, 1988

Congenital Aneurysm of the Left Ventricle: Title and subTitle BreakIts Recognition and Significance FREE

Rohit R. Arora, MD; Henry J. Issenberg, MD; Hugo Spindola-Franco, MD; Ayodeji Fayemi, MD; Carl Steeg, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr Spindola-Franco).


JAMA. 1988;259(22):3306-3308. doi:10.1001/jama.1988.03720220052026
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References

TRUE left ventricular aneurysm, congenital or acquired, may be defined as an abnormal bulge or outpouching of a portion of the left ventricular wall with or without paradoxical (dyskinetic) systolic expansion. The wall of the aneurysm is composed of either myocardium or fibrous tissue and may be calcified.1-3 In contrast, a false aneurysm or pseudoaneurysm of the left ventricle (LV) represents a localized myocardial rupture, with the hemorrhage limited by adherent pericardium and fibrous tissue.4,5 Congenital and false aneurysms of the LV must be differentiated from left ventricular aneurysms resulting from myocardial infarction because the former tend to rupture. Left ventricular aneurysms associated with postmyocardial infarction do not rupture and are repaired only if a complication such as intractable congestive heart failure, arrhythmia, or refractory angina is present.6,7 Two cases of catastrophic congenital left ventricular aneurysms and a description of the various imaging modalities used to arrive

REFERENCES

1 +
Gould SE:  Aneurysm of ventricle , in Gould SE (ed): Pathology of the Heart , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1960;, pp 616-620.
2 +
Herman MV, Heinle RA, Klein MD, et al:  Localized disorders in myocardial contraction. N Engl J Med 1967;;277:222-232.
3 +
Spindola-Franco H, Fish BG:  Ischemic heart disease , in Spindola-Franco H, Fish BG (eds): Radiology of the Heart: Cardiac Imaging in Infants, Children and Adults . New York, Springer-Verlag NY Inc, 1985;, pp 144-145.
4 +
Hurst CO, Fine G, Keyes JW:  Pseudoaneurysm of the heart: Report of a case and review of literature. Circulation 1963;;28:427-436.
5 +
Gueron M, Hirsh M, Venderman K, et al:  Pseudoaneurysm of left ventricle: Report of a case diagnosed by angiography and successfully repaired. Br Heart J 1973;;35:663-665.
6 +
Dachman AH, Spindola-Franco H, Solomon N:  Left ventricular pseudoaneurysm: Its recognition and significance. JAMA 1981;;246:1951-1953.
7 +
Schlichter J, Hellerstein HK, Katz LN:  Aneurysm of the heart: A correlative study of 102 proved cases. Medicine 1954;;33:43-86.
8 +
Davila JC, Enriquez F, Bergoglio S, et al:  Congenital aneurysm of the left ventricle. Ann Thorac Surg 1965;;1:697-710.
9 +
Singh A, Katkov H, Zavoral JH, et al:  Congenital aneurysm of the left ventricle. Am Heart J 1980;;99:25-32.
10 +
Oster W, McCrae T (eds): Modern Medicine , ed 2. Philadelphia, Lea & Febiger, 1915;, vol 4, p 43.
11 +
Sawyer AJ, Mauss IH, Rosenblatt P:  Congenital diverticulosis of left ventricle. AJDC 1950;;79:111-117.
12 +
Drennan MR, Van der Vijver GT, Pearston CB:  A diverticulum of the human heart. S Afr Med J 1928;;2:58-65.
13 +
Chesler E, Tucker RBK, Barlow JB:  Subvalvular and apical left ventricular aneurysms in the Bantu as a source of systemic emboli. Circulation 1967;;35:1156-1162.
14 +
Cockshott WP:  Annular subvalvular left ventricular aneurysms. Semin Roentgenol 1969;;4:354-359.
15 +
Cantrell JR, Haller JA, Ravitch MM:  A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium and heart. Surg Gynecol Obstet 1958;;107:602-614.
16 +
Hoeffel JC, Henry M, Pernot C:  Les diverticules du coeur chez l'enfant: Aspects radiologiques. Ann Radiol 1974;;17:411-415.
17 +
Pocock WA, Cockshott WP, Ball PJA, et al:  Left ventricular aneurysms of uncertain etiology. Br Heart J 1965;;27:184-192.
18 +
Franco-Vasquez S, Sutherland D, Fowler M, et al:  Congenital aneurysms of left ventricular base. Chest 1970;;57:411-414.
19 +
Gueron M, Hirsch M, Opschitzer I, et al:  Left ventricular diverticulum and mitral incompetence in asymptomatic children. Circulation 1976;;53:181-187.
20 +
Meyersohn J, Schiffer J:  Rupture of a congenital aneurysm of the left ventricular apex. Chest 1973;;63:838-841.
21 +
Pettersson G, Bergstrom T:  A case of ruptured diverticulum of the left ventricle with hemopericardium in a neonate, treated successfully by surgery. Scand J Thorac Cardiovasc Surg 1969;;3:203-209.
22 +
Spindola-Franco H, Kronacher N:  Pseudoaneurysm of the left ventricle. Radiology 1978;;127:29-34.
23 +
Lowe JB, Williams JCP, Robb D, et al:  Congenital diverticulum of the left ventricle. Br Heart J 1959;;21:101.
24 +
Roelandt J, Van den Brand M, Vletter WB, et al:  Echocardiographic diagnosis of pseudoaneurysms of the left ventricle. Circulation 1975;;52:466-472.
25 +
Botvinick EH, Shames D, Hutchinson JC, et al:  Noninvasive diagnosis of a false left ventricular aneurysm with radioisotope gated cardiac blood pool imaging: Differentiation from true aneurysms. Am J Cardiol 1976;;37:1089-1093.

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1 +
Gould SE:  Aneurysm of ventricle , in Gould SE (ed): Pathology of the Heart , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1960;, pp 616-620.
2 +
Herman MV, Heinle RA, Klein MD, et al:  Localized disorders in myocardial contraction. N Engl J Med 1967;;277:222-232.
3 +
Spindola-Franco H, Fish BG:  Ischemic heart disease , in Spindola-Franco H, Fish BG (eds): Radiology of the Heart: Cardiac Imaging in Infants, Children and Adults . New York, Springer-Verlag NY Inc, 1985;, pp 144-145.
4 +
Hurst CO, Fine G, Keyes JW:  Pseudoaneurysm of the heart: Report of a case and review of literature. Circulation 1963;;28:427-436.
5 +
Gueron M, Hirsh M, Venderman K, et al:  Pseudoaneurysm of left ventricle: Report of a case diagnosed by angiography and successfully repaired. Br Heart J 1973;;35:663-665.
6 +
Dachman AH, Spindola-Franco H, Solomon N:  Left ventricular pseudoaneurysm: Its recognition and significance. JAMA 1981;;246:1951-1953.
7 +
Schlichter J, Hellerstein HK, Katz LN:  Aneurysm of the heart: A correlative study of 102 proved cases. Medicine 1954;;33:43-86.
8 +
Davila JC, Enriquez F, Bergoglio S, et al:  Congenital aneurysm of the left ventricle. Ann Thorac Surg 1965;;1:697-710.
9 +
Singh A, Katkov H, Zavoral JH, et al:  Congenital aneurysm of the left ventricle. Am Heart J 1980;;99:25-32.
10 +
Oster W, McCrae T (eds): Modern Medicine , ed 2. Philadelphia, Lea & Febiger, 1915;, vol 4, p 43.
11 +
Sawyer AJ, Mauss IH, Rosenblatt P:  Congenital diverticulosis of left ventricle. AJDC 1950;;79:111-117.
12 +
Drennan MR, Van der Vijver GT, Pearston CB:  A diverticulum of the human heart. S Afr Med J 1928;;2:58-65.
13 +
Chesler E, Tucker RBK, Barlow JB:  Subvalvular and apical left ventricular aneurysms in the Bantu as a source of systemic emboli. Circulation 1967;;35:1156-1162.
14 +
Cockshott WP:  Annular subvalvular left ventricular aneurysms. Semin Roentgenol 1969;;4:354-359.
15 +
Cantrell JR, Haller JA, Ravitch MM:  A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium and heart. Surg Gynecol Obstet 1958;;107:602-614.
16 +
Hoeffel JC, Henry M, Pernot C:  Les diverticules du coeur chez l'enfant: Aspects radiologiques. Ann Radiol 1974;;17:411-415.
17 +
Pocock WA, Cockshott WP, Ball PJA, et al:  Left ventricular aneurysms of uncertain etiology. Br Heart J 1965;;27:184-192.
18 +
Franco-Vasquez S, Sutherland D, Fowler M, et al:  Congenital aneurysms of left ventricular base. Chest 1970;;57:411-414.
19 +
Gueron M, Hirsch M, Opschitzer I, et al:  Left ventricular diverticulum and mitral incompetence in asymptomatic children. Circulation 1976;;53:181-187.
20 +
Meyersohn J, Schiffer J:  Rupture of a congenital aneurysm of the left ventricular apex. Chest 1973;;63:838-841.
21 +
Pettersson G, Bergstrom T:  A case of ruptured diverticulum of the left ventricle with hemopericardium in a neonate, treated successfully by surgery. Scand J Thorac Cardiovasc Surg 1969;;3:203-209.
22 +
Spindola-Franco H, Kronacher N:  Pseudoaneurysm of the left ventricle. Radiology 1978;;127:29-34.
23 +
Lowe JB, Williams JCP, Robb D, et al:  Congenital diverticulum of the left ventricle. Br Heart J 1959;;21:101.
24 +
Roelandt J, Van den Brand M, Vletter WB, et al:  Echocardiographic diagnosis of pseudoaneurysms of the left ventricle. Circulation 1975;;52:466-472.
25 +
Botvinick EH, Shames D, Hutchinson JC, et al:  Noninvasive diagnosis of a false left ventricular aneurysm with radioisotope gated cardiac blood pool imaging: Differentiation from true aneurysms. Am J Cardiol 1976;;37:1089-1093.

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