Video of the Month: Pulsating Umbilicus in a Neonate with Left Ventricular Diverticulum

Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations. We report on a female neonate with prenatally diagnosed heterotaxia and dextrocardia who was born with a pulsat...

Full description

Saved in:
Bibliographic Details
Main Authors: M. Moormann (Author), M. Vollroth (Author), M. Lacher (Author), H. Stepan (Author), D. Gräfe (Author), U. Thome (Author), S. Rützel (Author), M. Weidenbach (Author), I. Martynov (Author), C. Pügge (Author)
Format: Book
Published: Georg Thieme Verlag KG, 2024-01-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Left ventricular diverticulum (LVD) is a rare malformation presenting in 0.05% of all congenital cardiac anomalies. It is associated with additional cardiac and extracardiac malformations. We report on a female neonate with prenatally diagnosed heterotaxia and dextrocardia who was born with a pulsating supraumbilical mass. Echocardiography revealed a diverticulum originating from the left ventricle, which was connected to the umbilicus. Magnetic resonance imaging confirmed an LVD without evidence of a diaphragmatic hernia on the day of life 9. The child underwent laparotomy/lower sternotomy, and the diverticulum and epigastric hernia were closed. The postoperative course was uneventful, and the girl was discharged on the 10th postoperative day. In a neonate with a pulsatile supraumbilical mass, the diagnosis of a congenital LVD should be taken into consideration. The treatment is straightforward and was successful in this single case.
Item Description:2194-7619
2194-7627
10.1055/s-0044-1791569