Martinez Juarez D, Gomez Monterrosas O, Tlecuitl Mendoza A, Zamora Rosales F, Álvarez Calderón R, Cepeda Ortiz DA, Espinosa Solis EE. Right ventricular diverticulum following a pulmonary valve placement for correction of tetralogy of Fallot: A case report. World J Cardiol 2024; 16(12): 760-767 [DOI: 10.4330/wjc.v16.i12.760]
Corresponding Author of This Article
David Martinez Juarez, MD, Doctor, Department of Radiology, Christus Muguerza Hospital Betania, Av. 11 Ote 1826, Azcárate, Puebla 72501, Mexico. www_david_@msn.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Dec 26, 2024; 16(12): 760-767 Published online Dec 26, 2024. doi: 10.4330/wjc.v16.i12.760
Right ventricular diverticulum following a pulmonary valve placement for correction of tetralogy of Fallot: A case report
David Martinez Juarez, Omar Gomez Monterrosas, Alonso Tlecuitl Mendoza, Francisco Zamora Rosales, Rodrigo Álvarez Calderón, Daniel A Cepeda Ortiz, Erick E Espinosa Solis
David Martinez Juarez, Erick E Espinosa Solis, Department of Radiology, Christus Muguerza Hospital Betania, Puebla 72501, Mexico
Omar Gomez Monterrosas, Department of Cardiology, Christus Muguerza Hospital Betania, Puebla 72501, Mexico
Alonso Tlecuitl Mendoza, Department of Radiology, Hrae Issste, Puebla 72570, Mexico
Francisco Zamora Rosales, Department of investigation, Christus Muguerza Hospital Betania, Puebla 72501, Mexico
Rodrigo Álvarez Calderón, Department of intensive care unit, Christus Muguerza Hospital Betania, Puebla 72501, Mexico
Daniel A Cepeda Ortiz, Department of Radiology, Hospital de Especialidades 5 de Mayo ISSSTEP, Puebla 72550, Mexico
Author contributions: Martinez Juarez D conception and design of case; Gomez Monterrosas O reviewed the manuscript; Tlecuitl Mendoza A wrote the manuscript; Zamora Rosales F analysis and interpretation of the data; Álvarez Calderón R reviewed the manuscript; Cepeda Ortiz DA wrote the manuscript; Espinosa Solis EE acquisition of the data.
Informed consent statement: The patient provided informed written consent about personal and medical data collection prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: David Martinez Juarez, MD, Doctor, Department of Radiology, Christus Muguerza Hospital Betania, Av. 11 Ote 1826, Azcárate, Puebla 72501, Mexico. www_david_@msn.com
Received: April 19, 2024 Revised: September 30, 2024 Accepted: November 8, 2024 Published online: December 26, 2024 Processing time: 221 Days and 8.6 Hours
Abstract
BACKGROUND
Ventricular diverticula are a rare congenital cardiac disorder presenting with an extremely low incidence. The presence of an apical diverticulum of the right ventricle has been associated with other congenital heart diseases such as tetralogy of Fallot. An important defining characteristic of ventricular diverticula that separates them from aneurysms through imaging techniques, is that they possess myocardial contraction synchronous to the adjacent walls, contributing to the ventricular stroke volume, so they do not usually require surgical treatment.
CASE SUMMARY
A 15-year-old male, currently asymptomatic, in follow up due to a pulmonary valve prosthesis placement and a history of corrected tetralogy of Fallot at 18 months old, underwent a cardiac magnetic resonance imaging in February 2024. A diverticulum was detected in the apical inferolateral wall of the right ventricle, which was not documented in the cardiac magnetic resonance imaging prior to valve prosthesis placement.
CONCLUSION
Right ventricular diverticula are a rare entity. To this date we could not find another case of a pulmonary valve placement, followed by a right ventricular diverticulum appearance.
Core Tip: Cardiac magnetic resonance imaging characterization is the gold standard for classifying anatomical abnormalities of the right ventricular wall. In asymptomatic patients, conservative management and close follow-up are recommended since no arrhythmias or thrombotic events occurred after the diverticulum was discovered; However, in some cases where there is a high risk of thrombosis (when the diverticulum is large or associated with arrhythmias or other malformations such as ventricular septal defect), anticoagulation is recommended. Surgery also is mainly reserved for cases of large and symptomatic diverticula.
