Isolated left ventricular diverticulum in a patient presenting with chest pain

Ventricular diverticula are usually asymptomatic and associated with other cardiac abnormalities. They are generally diagnosed during early childhood. A 73-year-old woman presented with chest pain with a history of eight years, occurring on physical exertion. Both echocardiography and left ventriculography revealed a true contractile isolated left ventricular diverticulum. The coronary arteries were normal and she did not have any congenital anomaly. During three months of medical therapy with a beta-blocker, angiotensin converting enzyme inhibitor, and aspirin, her complaint of chest pain did not appear.