PLAIN RADIOGRAPHIC DIAGNOSIS OF CONGENITAL HEART DISEASE
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A. PA chest radiograph demonstrates a deficient left ventricle border.
B-E. Systolic and diastolic PA and lateral cineangiograms demonstrate a left ventricular diverticulum which passes anterior and infradiaphragmatic. There is pooling of contrast in the diverticulum in diastole. There is a common brachiocephalic trunk and both kideys appear normal.
This rare entity often presents with a pulsatile mass within the epigastrium. Systolic and diastolic murmurs are often heard secondary to blood flow through the diverticulum. Electrocardiogram may demonstrate complete or incomplete left bundle branch block. This lesion may be associated with defects in the sternum, pericardium, diaphragm, exomphalos in addition to both cyanotic and acyanotic heart disease (pentalogy of Cantrell).