Skip to main content
SpringerLink
Log in

All Cardiac Right Ventricular Outpouches Are Not Created Equal

  • Original Article
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Congenital right ventricular diverticula and aneurysms are rare. Clinically, a diverticulum is difficult to distinguish from an aneurysm. Four diverse right ventricular cameral defects or right ventricular outpouches (RVOs) are described together with the management of each. Surgery may be necessary if an RVO has thin walls. However, if an RVO is composed of uniform thick contractile walls, conservative follow-up care likely is appropriate.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Cantrell JR, Haller JA, Ravitch MM (1958) A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 107:602–614

    PubMed  CAS  Google Scholar 

  2. Conway J, Friessen CH, Thompson D, Warren AE (2008) Fetal diagnosis of an “extra cardiac chamber”. Pediatr Cardiol 29:188–190

    Article  PubMed  Google Scholar 

  3. Del Río M, Martínez JM, Bennasar M, Palacio M, Figueras F, Puerto B, Mortera C, Cararach V (2005) Prenatal diagnosis of a right ventricular diverticulum complicated by pericardial effusion in the first trimester. Ultrasound Obstet Gynecol 25:409–411

    Article  PubMed  Google Scholar 

  4. Kavanagh-Gray D (1971) Right ventricular diverticulum. CMA J 105:1055–1056

    CAS  Google Scholar 

  5. Koshiishi T, Osada H, Hata A, Furugen Y, Murakoshi T, Mitsuhashi N (2007) Prenatal rupture of right ventricular diverticulum: A case report and review of the literature. Prenat Diagn 27:1154–1157

    Article  PubMed  CAS  Google Scholar 

  6. Krasemann T, Gehrmann J, Fenge H, Debus V, Loeser H, Vogt J (2001) Ventricular aneurysm or diverticulum? Clinical differential diagnosis. Pediatr Cardiol 22:409–411

    Article  PubMed  CAS  Google Scholar 

  7. O’Bryan (1837) Prov Med Surgical Trans 6:374

    Google Scholar 

  8. Ohlow MA (2006) Congenital left ventricular aneurysms and diverticula: definition, pathophysiology, clinical relevance, and treatment. Cardiology 106:63–72

    Article  PubMed  Google Scholar 

  9. Peacock TB (1866) On Malformations of the Human Heart etc. With Original Cases and Illustrations. J Churchill, London, p 7

    Google Scholar 

  10. Perlitz Y, Mukary M, Lorber A, Ben-Ami M (2009) Prenatal diagnosis of fetal cardiac right ventricular diverticulum disappearing at three months of age: a case report and literature review. Fetal Diagn Ther 25:44–46

    Article  PubMed  Google Scholar 

  11. Rajs J, Thorén C, Max Kjellman NI (1977) Spontaneous rupture of a congenital diverticulum of the right ventricle in a 1-month-old child. Eur J Cardiol 6:131–137

    PubMed  CAS  Google Scholar 

  12. Taruffi C (1881) Storia della teratologia. Regia tip, Bologna

  13. Tomisawa M, Onouchi Z, Goto M, Nakata K, Mizukawa K, Kusunoki T (1974) Ventricular aneurysm with ventricular premature beats. Br Heart J 36:1182–1183

    Article  PubMed  CAS  Google Scholar 

  14. Villegas García M, Espinosa García MD, Ramos Martín JL, Soria Arcos F, de la Valenzuela G, Valdés Chavarri M (2001) Congenital diverticulum of the right ventricle associated with coarctation of aorta, atrial, and ventricular septal defect and ductus. Eur J Echocardiogr 2:205–206

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Children’s Heart Center, 3006 S. Maryland Parkway Ste. 690, Las Vegas, 89109, NV, USA

    William Evans, Antonio Madrid, William Castillo, Robert Rollins & Ruben Acherman

  2. Division of Cardiology, Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Boulevard Ste. 402, Las Vegas, 89109, NV, USA

    William Evans, Antonio Madrid, William Castillo, Robert Rollins & Ruben Acherman

  3. Cardiovascular Surgical Associates, 1090 E. Desert Inn Road, Suite 202, Las Vegas, 89109, NV, USA

    Robert Wiencek & Michael Ciccolo

  4. Department of Cardiothoracic Surgery, University of Southern California, Keck School of Medicine, 4650 Sunset Boulevard MS 66, Los Angeles, 90027, CA, USA

    Vaughn Starnes

  5. Red Rock Radiology, 3186 South Maryland Pkwy, Las Vegas, 89109, NV, USA

    Dean P. Berthoty

Authors
  1. William Evans
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonio Madrid
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. William Castillo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert Rollins
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Dean P. Berthoty
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Vaughn Starnes
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Robert Wiencek
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Michael Ciccolo
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Ruben Acherman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to William Evans.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Evans, W., Madrid, A., Castillo, W. et al. All Cardiac Right Ventricular Outpouches Are Not Created Equal. Pediatr Cardiol 30, 954–957 (2009). https://doi.org/10.1007/s00246-009-9474-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-009-9474-6

Keywords

Search

Navigation