Korean Circ J.  2013 Oct;43(10):702-704. 10.4070/kcj.2013.43.10.702.

Isolated, Broad-Based Apical Diverticulum: Cardiac Magnetic Resonance Is a "Terminator" of Cardiac Imaging Modality for the Evaluation of Cardiac Apex

• Ahn HS
• Kim HK
• Park EA
• Lee W
• Park JH
• Sohn DW

• KMID: 1826563
• DOI: http://doi.org/10.4070/kcj.2013.43.10.702

Abstract

In spite of the frequent involvement of many cardiac diseases, it is difficult to evaluate the left ventricular apex in detail with transthoracic echocardiography, a first-line imaging modality in cardiovascular diseases, because the apex is very closely located at the echocardiographic probe. Cardiac magnetic resonance enables us to evaluate the cardiac apex without any limitation to the image acquisition. We here present a case regarding a broad-based apical diverticulum, which was initially confused with apical aneurysm.

Keyword

Diverticulum; Heart aneurysm; magnetic resonance imaging

MeSH Terms

Cardiovascular Diseases
Diverticulum*
Echocardiography
Heart Aneurysm
Heart Diseases
Magnetic Resonance Imaging*

Figure

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  Fig. 1 Transthoracic echocardiographic images. A: apical 4-chamber view reveals a band-like structure in the left ventricle (LV) (arrow). B: LV opacification with echocardiographic contrast proves the absence of apical thrombus.

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  Fig. 2 Initial electrocardiography (ECG). ECG finding does not reveal any evidence of apical aneurysm.

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  Fig. 3 Computed tomographic thoracoabdominal angiography reveals normal findings, including no atherosclerosis.

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  Fig. 4 End-systolic (A) and end-diastolic (B) 4-chamber images of the cardiac cine steady-state procession cardiac magnetic resonance imaging. Ten-minute delayed cardiac magnetic resonance images with phase-sensitive inversion recovery sequence after administration of gadopentetate dimeglumine clearly demonstrate subendocardial hyperenhancement (C, D and E).

Reference

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