Contrast harmonic power Doppler imaging of congenital ventricular diverticulum - A case report

A case of an 81-year-old woman with a left ventricular diverticulum who und erwent myocardial contrast echocardiography is reported. After administrati on of the contrast agent, a pulsed Doppler flow measurement clearly reveale d the biphasic waveform of the ejection flow in the pre-systolic and systol ic phase at the ostium of the diverticular cavity. A harmonic power Doppler image showed that part of the diverticulum wall had similar acoustic prope rties to the ventricular septal wall. Intracardiac blood flow and myocardia l perfusion could be clearly evaluated and a ventricular diverticulum was c orrectly diagnosed using contrast echocardiography.