Chest Pain With Apical Diverticulum in the Absence of Corona
A ventricular diverticulum is an outpouching of the left or right ventricle which may be found at various levels and can be isolated, or associated with other congenital anomalies. The clinical significance of this rare finding is yet to be delineated, although associations with various arrhythmic, embolic and rupture risks have been described. We present in this report an interesting case of a left ventricular apical diverticulum discovered incidentally during work-up of chest pain, in the absence of coronary artery disease, followed by review of pertinent literature.

Case Report
A 56-year-old white female was admitted to our hospital with chest pain that has been intermittent over the past 1 month. The pain was described as exertional, substernal and pressure-like in quality, radiating to left arm and jaw, and lasting approximately 30 min each episode; it was associated with shortness of breath. She has had approximately 10 such episodes in the past 1 month. The patient denied any dizziness, palpitations, syncope, orthopnea or PND. She has had a history of hypertension for many years, however has not been compliant with her medications for the past 6 months. On admission, vital signs revealed blood pressure of 185/100 mm Hg, and regular heart rate of 94 beats per minute....