A case of isolated left ventricle diverticulum

We report the images of an incidental finding of an isolated left ventricular (LV) diverticulum in a 37-year old Indian man without cardiovascular risk factors admitted to emergency room for atypical chest pain. The physical examination was basically benign and there was no evidence of myocardial ischemic event either by electrocardiography or the leak of cardiac enzymes. The echocardiography revealed a moderately hypertrophic left ventricle with normal ejection fraction and no abnormality in local and global contractility. Moreover it showed a myocardial out-pouching (11x9 mm) localized at the middle third of the posterior inter-ventricular septum which was moving in synchrony with the rest of the ventricle (Figure 1). The echocardiographic Figure 1 Apical two-chamber view showing the isolated diverticulum.