Ye Tan1,2, Jing Ling3,4,5, Zewen Chen3,4,5, Runzhang Liang3,4,5, Shusheng Wen3,4,5, Yong Zhang3,4,5,*
Structural and Congenital Heart Disease, Vol.21, No.3, 2026, DOI:10.32604/schd.2026.077197
- 31 July 2026
Abstract Background: Congenital left ventricular diverticulum is an uncommon cardiac malformation that may present with chest pain, ventricular arrhythmia, thromboembolism, or rupture risk depending on lesion morphology and wall composition. Case description: We report an adolescent male with chest pain and frequent premature ventricular complexes who was found to have a giant apical left ventricular diverticulum with marked wall thinning and regional hypokinesia. Multimodality imaging, including transthoracic echocardiography, computed tomography, cardiac magnetic resonance, and myocardial perfusion/metabolic assessment, supported the diagnosis of a fibrous diverticulum and helped exclude ischemic myocardial injury. To refine operative planning, patient-specific dynamic three-dimensional (3D)… More >