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A large left ventricular diverticulum in a patient with a previous ventricular septal defect
  1. Juraj Dubrava1,
  2. Iveta Simkova2
  1. 1Department of Cardiology, St Cyril and Method University Hospital, Bratislava, Slovakia
  2. 2Cardiology Clinic, National Institute of Cardiovascular Diseases, Bratislava, Slovakia
  1. Correspondence to Dr Juraj Dubrava, Department of Cardiology, St Cyril and Method University Hospital, Antolska 11, 851 07 Bratislava, Slovakia; dubrava{at}pe.unb.sk

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A 68-year-old woman was investigated for presyncope. She had undergone a subaortic Dacron patch plasty for a ventricular septal defect (VSD) 24 years previously. The patient had no other complaints. The physical examination was unremarkable. A resting ECG showed sinus rhythm with complete left bundle branch block. Transthoracic echocardiography demonstrated a bizarre banana-shaped outpouching 45 mm in length arising from the interventricular septum and spreading towards the right ventricular apex (figure 1). The saccular lesion filled approximately 40% of the right ventricle. Myocardial thickness of the outpouching and of the remaining left ventricle was 8 mm and 12–13 mm, respectively. A synchronous contraction with the ventricular mass, preserved myocardium and a narrower ‘collet’ of 20 mm compared with the maximal …

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