Ventricular diverticulum in Cantrell´s pentalogy: rare but not isolated entities

Authors

DOI:

https://doi.org/10.47487/apcyccv.v2i4.162

Keywords:

Pentalogy of Cantrell, Diverticulum, Ectopia cordis, Cardiovascular abnormalities

Abstract

Pentalogy of Cantrell is a rare entity characterized by a combination of alterations, among which the following stand out: defects of the pericardium, heart, diaphragm, lower third of sternum and abdominal wall. On the other hand, congenital cardiac diverticulum is a rare malformation whose presentation is associated with Cantrell’s pentalogy in some cases. We present the case of a child with Cantrell’s pentalogy who, during follow-up, was diagnosed with left ventricular diverticulum, which required surgical management with a favorable outcome. Addressing these conditions requires the use of cardiovascular images that allow timely decision-making by the treating team.

Downloads

Download data is not yet available.

References

Williams AP, Marayati R, Beierle EA. Pentalogy of Cantrell. Semin Pediatr Surg. 2019. 28(2):106-110. doi: 10.1053/j.sempedsurg.2019.04.006.

Duan QJ, Gao Z, Zhang ZW, Li JH, Ma LL, Ying LY. Correct definition of pentalogy of Cantrell. J Perinat Med. 2009;37(4):426. doi: 10.1515/JPM.2009.065.

Reyes Caldelas MA, de la Mora Cervantes R, Vargas Hernández SI. “Cantrell’s pentalogy”- Angiographic CT evaluation. J Cardiovasc Comput Tomogr. 2020;14(5):e42-e43. doi: 10.1016/j.jcct.2019.01.003.

Yang H, Zhu Q, Chen J, Guo N. Congenital left ventricular diverticulum diagnosed by echocardiography. Pediatr Cardiol. 2012;33(4):646-8. doi: 10.1007/s00246-012-0153-7.

Correa-Rivas MS, Matos-Llovet I, García-Fragoso L. Pentalogy of Cantrell: a case report with pathologic findings. Pediatr Dev Pathol. 2004;7(6):649-52. doi: 10.1007/s10024-004-9104-5.

Jnah AJ, Newberry DM, England A. Pentalogy of Cantrell: Case Report With Review of the Literature. Adv Neonatal Care. 2015;15(4):261-8. doi: 10.1097/ANC.0000000000000209.

Steiner MB, Vengoechea J, Collins RT 2nd. Duplication of the ALDH1A2 gene in association with pentalogy of Cantrell: a case report. J Med Case Rep. 2013;7:287. doi: 10.1186/1752-1947-7-287.

Liu Y, Yang J, Jin Z, Zhu H, Yu S, Sun G. One-stage surgical correction in pentalogy of Cantrell with left ventricular diverticulum. J Card Surg. 2014;29(3):413-6. doi: 10.1111/jocs.12309.

Romagnoli A, Ricci A, Morosetti D, Fusco A, Citraro D, Simonetti G. Congenital left ventricular diverticulum: Multimodality imaging evaluation and literature review. J Saudi Heart Assoc. 2015;27(1):61-7. doi: 10.1016/j.jsha.2014.07.004.

Asai H, Shingu Y, Ito N, Tachibana T. Norwood Operation of a Neonate With Pentalogy of Cantrell. Ann Thorac Surg. 2020;109(2):e135-e136. doi: 10.1016/j.athoracsur.2019.04.110.

Shuplock JM, Kavanaugh-McHugh A, Parra D. Prenatally Diagnosed Congenital Ventricular Outpouchings: An Institutional Experience and Review of the Literature. Pediatr Cardiol. 2020;41(2):272-281. doi: 10.1007/s00246-019-02252-7.

Malakan Rad E, Awad S, Hijazi ZM. Congenital left ventricular outpouchings: a systematic review of 839 cases and introduction of a novel classification after two centuries. Congenit Heart Dis. 2014;9(6):498-511. doi: 10.1111/chd.12214.

Erol C, Koplay M, Olcay A, Kivrak AS, Ozbek S, Seker M, et al. Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: clefts, aneurysms, diverticula and terminology problems. Eur J Radiol. 2012;81(11):3276-81. doi: 10.1016/j.ejrad.2012.03.025.

Halpern L, Garabedian C, Worrall NK. Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make. Case Rep Cardiol. 2018;2018:5839432. doi: 10.1155/2018/5839432.

Ohlow MA. Congenital left ventricular aneurysms and diverticula: an entity in search of an identity. J Geriatr Cardiol. 2017;14(12):750-762. doi: 10.11909/j.issn.1671-5411.2017.12.005.

Yao M, Wang R, Ye W, Ren C. Surgical treatment of congenital left ventricular diverticulum. J Thorac Dis. 2021;13(1):291-298. doi: 10.21037/jtd-20-3510.

Fang Y, An Q, Yu T, Luo S. Partial resection of large congenital left ventricular diverticulum in an infant: a case report. BMC Surg. 2020;20(1):146. doi: 10.1186/s12893-020-00808-6.

Downloads

Published

2021-12-27

Issue

Section

Case reports