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Congenital left ventricular diverticulum repair in an adult with dual patch technique
Authors:Javier Mejia MD  Stephen M. Spindel MD  Amit Pawale MD  Shinobu Itagaki MD  MSc  Percy Boateng MD
Affiliation:1. Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York;2. Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York

Division of Cardiac Surgery, Northwestern Memorial Hospital, Chicago, Illinois

Abstract:
Rupture of a congenital left ventricular diverticulum (CLVD), a rare anatomical anomaly, is a catastrophic event, with potential fatal consequences. Repair techniques documented in the literature include primary closure and single patch closure. We describe a case of a 57-year-old woman with symptomatic anterolateral CLVD. Our approach involves a linear incision through the epicardial surface of the diverticulum with exclusion of the cavity, and restoration of normal ventricular geometry via a two-patch technique.
Keywords:cardiovascular pathology  clinical review  congenital heart disease  surgical history
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