Successful endovascular treatment of left ventricle aneurysm in a pediatric patient

Isabel C. Sánchez-Escobar, Departamento de Cardiología Pediátrica, Universidad Pontificia Bolivariana, Medellín, Colombia
Silvia J. Galvis-Blanco, Departamento de Pediatría, Universidad de Antioquia, Medellín, Colombia
Luis H. Díaz-Medina, Hemodinamia, Departamento de Cardiología Pediátrica, Clínica CardioVID, Medellín, Colombia
Rafael Correa-Velásquez, Electrofisiología, Departamento de Cardiología Pediátrica, Clínica CardioVID. Medellín, Colombia
Rafael Lince-Varela, Hemodinamia, Departamento de Cardiología Pediátrica, Clínica CardioVID, Medellín, Colombia

Background: Aneurysms and diverticula of the left ventricle are rare entities in childhood, with a prevalence of less than 0.1%. Described since 1886, as a severe and potentially fatal disease if not corrected, mainly due to the presence of associated anomalies and the risk of rupture. Objetive: Present other management options for ventricular diverticula, different from surgical options, using alternative materials that are not used very often in daily practice. Method: A detailed description of a case successfully managed with these new treatment modalities. Results: Endovascular management of the left ventricular diverticulum, diagnosed prenatally in the patient presented, was successful after initial failure with surgical management. Conclusions: Endovascular management of ventricular diverticula, using alternative materials to those commonly used, is an attractive option with satisfactory results in these patients.

Keywords: Left ventricular diverticulum. Left ventricular aneurysm. Congenital anomalies. Surgery. Percutaneous intervention.