Congenital ventricular aneurysm as an unexpected complication of monomorphic premature ventricular contractions

Intern Med. 2010;49(10):907-12. doi: 10.2169/internalmedicine.49.3008. Epub 2010 May 14.

Abstract

Congenital ventricular diverticulum (CVD) in adults is a rare cardiac malformation, which includes fibrous type congenital ventricular aneurysm (CVA). CVA is often clinically asymptomatic and shows no abnormality in the electrocardiogram or chest X-ray. However, some cases of sudden death resulting from ventricular tachycardia, cardiac embolism or ventricular rupture have been reported. Therefore, physicians should perform further cardiac imaging studies to detect a CVA if ventricular arrhythmia originating from the left ventricle is observed. Here, we report two successfully followed cases of CVA which were diagnosed from premature ventricular contractions.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diverticulum / complications
  • Diverticulum / congenital
  • Echocardiography
  • Electrocardiography
  • Female
  • Heart Aneurysm / complications*
  • Heart Aneurysm / congenital*
  • Heart Aneurysm / diagnosis
  • Heart Ventricles / abnormalities*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Tachycardia, Ventricular / etiology
  • Ventricular Premature Complexes / etiology*