Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: Clefts, aneurysms, diverticula and terminology problems

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dc.contributor.authorErol, Cengiz
dc.contributor.authorKoplay, Mustafa
dc.contributor.authorOlcay, Ayhan
dc.contributor.authorKivrak, Ali Sami
dc.contributor.authorOzbek, Seda
dc.contributor.authorSeker, Mehmet
dc.contributor.authorPaksoy, Yahya
dc.date.accessioned2020-03-26T18:24:31Z
dc.date.available2020-03-26T18:24:31Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: Our aim was to evaluate congenital left ventricular wall abnormalities (clefts, aneurysms and diverticula), describe and illustrate imaging features, discuss terminology problems and determine their prevalence detected by cardiac CT in a single center. Materials and methods: Coronary CT angiography images of 2093 adult patients were evaluated retrospectively in order to determine congenital left ventricular wall abnormalities. Results: The incidence of left ventricular clefts (LVC) was 6.7% (141 patients) and statistically significant difference was not detected between the sexes regarding LVC (P = 0.5). LVCs were single in 65.2% and multiple in 34.8% of patients. They were located at the basal to mid inferoseptal segment of the left ventricle in 55.4%, the basal to mid anteroseptal segment in 24.1%, basal to mid inferior segment in 17% and septal-apical septal segment in 3.5% of cases. The cleft length ranged from 5 to 22 mm (mean 10.5 mm) and they had a narrow connection with the left ventricle (mean 2.5 mm). They were contractile with the left ventricle and obliterated during systole. Congenital left ventricular septal aneurysm that was located just under the aortic valve was detected in two patients (0.1%). No case of congenital left ventricular diverticulum was detected. Conclusion: Cardiac CT allows us to recognize congenital left ventricular wall abnormalities which have been previously overlooked in adults. LVC is a congenital structural variant of the myocardium, is seen more frequently than previously reported and should be differentiated from aneurysm and diverticulum for possible catastrophic complications of the latter two. (C) 2012 Elsevier Ireland Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ejrad.2012.03.025en_US
dc.identifier.endpage3281en_US
dc.identifier.issn0720-048Xen_US
dc.identifier.issn1872-7727en_US
dc.identifier.issue11en_US
dc.identifier.pmid22534466en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3276en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ejrad.2012.03.025
dc.identifier.urihttps://hdl.handle.net/20.500.12395/27860
dc.identifier.volume81en_US
dc.identifier.wosWOS:000309554400054en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER IRELAND LTDen_US
dc.relation.ispartofEUROPEAN JOURNAL OF RADIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectCoronary CT angiographyen_US
dc.subjectCongenital left ventricular wall abnormalitiesen_US
dc.subjectLeft ventricular cleften_US
dc.subjectVentricular septal aneurysmen_US
dc.subjectDiverticulumen_US
dc.titleCongenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: Clefts, aneurysms, diverticula and terminology problemsen_US
dc.typeArticleen_US

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