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Right Ventricular Apical Diverticulum

Imaging findings

Cardiac MRI shows an out-pouching at the apex of the right ventricle that beats synchronously with the myocardium, representing a congenital diverticulum rather than a hemangioma or pseudoaneurysm.

Key takeaways

Right ventricular diverticula are rare congenital anomalies. Unlike pseudoaneurysms, which have a narrow neck and do not contract, congenital diverticula contain all myocardial layers and display synchronous contractility, carrying a benign prognosis.

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