Abstract

Ibrahim Hamissou*, Nicolas Hugues, Emric Lager and Romain Pastre

ABSTRACT

The left ventricular diverticulum represents 0,1% of all congenital heart disease. It is a rare abnormality that can be isolated or most often associated with others cardiac disorders. Most cases are asymptomatic and discovered incidentally. Multimodal imaging contributes to support the diagnostic. Its main complications are arrythmia and thromboembolic events. Due to the absence of clear guidelines, the management is based on the current risk of the patient. In this article, we report the case of our 48-year-old female patient, diagnosed and managed a year ago as a case of a paradoxical thromboembolic event in another center where she benefited from the closure of a patent foramen oval. She consulted this time at our health facility for a lower back pain and an incidental finding of a congenital left ventricular diverticulum was made on a contrasted computed tomography scan. A conservative treatment has been decided in the case of our patient for a long-term anticoagulant therapy.