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(Circulation. 2001;103:e89.)
© 2001 American Heart Association, Inc.

Correspondence

Cantrell’s Syndrome: Left Ventricular Diverticulum in an Adult Patient

Edward G. Abinader, MD, FRCPI

Dawod Sharif, MD

Bnai-Zion Medical Center, Medical Faculty, Technion, Golomb Street 47, Haifa, Israel

To the Editor:

We read with interest the findings reported by Gruberg et al.¹ At 33 years of age, the patient had left ventricular hypertrophy by echocardiography and, in the absence of obvious reasons for hypertrophy, the diagnosis of hypertrophic cardiomyopathy (HCM) should be considered. The electrocardiographic changes and the spade-like appearance of the left ventricle at angiography (Figure 3) support the diagnosis of apical HCM. Furthermore, the authors report a normal ventriculogram at 33 years, thus excluding the diagnosis of a congenital defect and supporting acquired disease diagnosed 16 years later at the age of 49 years.

We reported on a patient with apical HCM² who, at long-term follow-up, had attenuation of the amplitude of the R waves and reduced negativity of the giant precordial T waves associated with progressive development of apical left ventricular aneurysm and normal coronary angiogram.

Thus, the findings reported by the authors favor the diagnosis of apical HCM with progressive remodelling of the left ventricular apex, rather than a congenital defect in the form of Cantrell’s syndrome.

References

1. Gruberg L, Goldstein SA, Pfister AJ, et al. Cantrell’s syndrome: left ventricular diverticulum in an adult patient. Circulation. 2000;101:109–110.[Free Full Text]

2. Abinader EG, Rauchfleisch S, Naschitz J. Hypertrophic apical cardiomyopathy: a subtype of hypertrophic cardiomyopathy. Israel J Med Sci. 1982;18:1005–1009. \.[Medline] [Order article via Infotrieve]

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