Congenital Left Ventricular Diverticulum Complicated by Ventricular Fibrillation Manabu Yamasaki, MD, Naoto Kawamatsu, MD, Kunihiko Yoshino, MD, Kohei.

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Congenital Left Ventricular Diverticulum Complicated by Ventricular Fibrillation Manabu Yamasaki, MD, Naoto Kawamatsu, MD, Kunihiko Yoshino, MD, Kohei Abe, MD, Hiroyasu Misumi, MD The Annals of Thoracic Surgery Volume 104, Issue 3, Pages e271-e273 (September 2017) DOI: 10.1016/j.athoracsur.2017.03.029 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (a) Cardiac magnetic resonance image showing the outpouching of the posterolateral left ventricular wall (2 × 2 × 2 cm) (arrow). (b) Cardiac computed tomographic view. The white arrow shows the relationship between the outpouching of left ventricular wall and oblique margin branch of corona artery. The Annals of Thoracic Surgery 2017 104, e271-e273DOI: (10.1016/j.athoracsur.2017.03.029) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Operative photo showing (a) a contractile but thin outpouching of posterolateral left ventricular wall and (b) an expanded polytetrafluoroethylene patch, excluding the orifice of the outpouching (around 3 cm). The Annals of Thoracic Surgery 2017 104, e271-e273DOI: (10.1016/j.athoracsur.2017.03.029) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Photomicrograph of tissue sample from outpouching showing myocardial tissue with different sizes of cardiac myocytes and marked fibrosis (hematoxylin and eosin stain, ×4). The Annals of Thoracic Surgery 2017 104, e271-e273DOI: (10.1016/j.athoracsur.2017.03.029) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions