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The Annals of Thoracic Surgery, Vol 54, 761-763, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Left ventricular diverticulum with hypertrophy of the left ventricular apex

C Yamashita, H Nakamura, S Tobe, T Koterazawa and S Yamamoto
Miki City Hospital, Kobe, Japan.

A surgical case of diverticulum in the left ventricular apex is presented. A two-dimensional echocardiogram and magnetic resonance image showed a calcified tumor buried in the marked hypertrophied apex of the left ventricle. Enucleation of the oval and hard tumor (4 x 2.5 x 2.5 cm) was performed through the apex, and the defect was anastomosed by buttress sutures. Histologic examination demonstrated that the tumor cavity was filled with a thrombus encapsulated by thickened and calcified endocardium that extended to the left ventricular cavity. In this report, the etiology of the diverticulum with a hypertrophied myocardium is discussed.




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Copyright © 1992 by The Society of Thoracic Surgeons.