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Intern Med. 2010;49(10):907-12. Epub 2010 May 14.

Congenital ventricular aneurysm as an unexpected complication of monomorphic premature ventricular contractions.

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1
Department of Cardiovascular Medicine, The University of Tokushima Graduate School of Health Biosciences. syagi@clin.med.tokushima-u.ac.jp

Abstract

Congenital ventricular diverticulum (CVD) in adults is a rare cardiac malformation, which includes fibrous type congenital ventricular aneurysm (CVA). CVA is often clinically asymptomatic and shows no abnormality in the electrocardiogram or chest X-ray. However, some cases of sudden death resulting from ventricular tachycardia, cardiac embolism or ventricular rupture have been reported. Therefore, physicians should perform further cardiac imaging studies to detect a CVA if ventricular arrhythmia originating from the left ventricle is observed. Here, we report two successfully followed cases of CVA which were diagnosed from premature ventricular contractions.

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