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Congenital submitral diverticulum

dc.contributor.authorGuimarães, Tatiana
dc.contributor.authorPlácido, Rui
dc.contributor.authorAlmeida, Ana G.
dc.date.accessioned2019-09-30T11:54:01Z
dc.date.available2019-09-30T11:54:01Z
dc.date.issued2019
dc.descriptionPublished by Elsevier España, S.L.U. on behalf of Sociedad Española de Cardiología.pt_PT
dc.description.abstractA 36-year-old Guinean woman was referred to our center for a closer examination of systolic murmur. She had no cardiovascular complaints. Echocardiographic examinations depicted a large saccular structure at the left ventricular lateral and infer-lateral walls, in the submitral region (Figure 1). The outpouching structure was connected to the left ventricle (LV) through a large neck. In diastole, blood flowed from the LV into the cavity, and in systole blood flowed from the cavity into the LV. These findings suggested that this cavity itself contracted. No other cardiac abnormalities were found. To better delineate the whole shape of the cavity, a computed tomographic scan was requested. It allowed precise measurement of the outpouching structure (9 x 7 cm), delineation of its morphology and excluded coronary artery disease (Figure 2). To confirm whether the cavity wall consisted of muscle, a cardiac magnetic resonance study was performed; cardiac magnetic resonance cine and late gadolinium enhancement images clearly demonstrated a contractile cavity wall, consisting of muscle with no fibrosis (Figure 3). A diagnosis of large congenital submitral left ventricular diverticulum was made. The patient refused surgery and is followed up at our cardiology clinic.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Esp Cardiol. 2019;72(5):417pt_PT
dc.identifier.doi10.1016/j.rec.2018.04.014
dc.identifier.issn1885-5857
dc.identifier.urihttp://hdl.handle.net/10451/39644
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/revista-espanola-de-cardiologia-english-editionpt_PT
dc.titleCongenital submitral diverticulumpt_PT
dc.title.alternativeDivertículo submitral congénitopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5pt_PT
oaire.citation.startPage417pt_PT
oaire.citation.titleRevista Española de Cardiología (English Edition)pt_PT
oaire.citation.volume72pt_PT
person.familyNamePlácido
person.familyNameAlmeida
person.givenNameRui
person.givenNameAna Gomes de
person.identifier574390
person.identifier.ciencia-id1A11-7BF5-0D37
person.identifier.ciencia-id3610-3184-3042
person.identifier.orcid0000-0003-4164-5481
person.identifier.orcid0000-0003-0360-4363
person.identifier.scopus-author-id18438045300
person.identifier.scopus-author-id55628683100
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf94a2173-a4ff-4460-b47d-194f917cb98b
relation.isAuthorOfPublication7a34cb7e-96d7-426c-ac32-346c0c0fa68c
relation.isAuthorOfPublication.latestForDiscovery7a34cb7e-96d7-426c-ac32-346c0c0fa68c

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