Congenital ventricular diverticulum and MI - diagnostic challenges and implications

The use of modern cardiac imaging techniques suggests that congenital ventricular diverticulum [CVD] may be more common than generally believed and may present asymptomatically in adult life. We present a case of congenital left ventricular diverticulum diagnosed in a patient presenting with myocardial infarction [MI]. The case highlights the importance of the differential diagnosis of CVD from post infarct left ventricular aneurysms [PILVA] and suggests that adult studies using modern imaging techniques are needed to define the prognosis for asymptomatic CVD in order to guide management