Congenital Aneurysms Adjacent to the Anuli of the Aortic and/or Mitral Valves

Chesler, Elliot; Mitha, Abdul S.; Edwards, Jesse E.

doi:10.1378/chest.82.3.334

Cited by 50 publications

(66 citation statements)

References 9 publications

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“…Additionally, there are foetal echocardiographic evidences to confirm the congenital origin of many of these aneurysms. 9 The basic pathology in these lesions has been described as a disjunction between the LV musculature and the left atrium-mitral valve region due to the disturbance of complex embryogenesis, which ties up the left atrium, LV and the mitral valve ensuring electrical isolation. 10 In a recent study, Nayak et al described a submitral membranous curtain as the potential anatomical basis of these aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Submitral aneurysm of the left ventricle

Baruah

Kumar

Reddy

et al. 2012

Indian Heart Journal

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Section: Discussionmentioning

confidence: 99%

Submitral aneurysm of the left ventricle

Baruah

Kumar

Reddy

et al. 2012

Indian Heart Journal

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“…Large aneurysms have been reported to compress the coronary arteries, causing myocardial infarction and sudden death [ [1] and [2]], or to compress the conduction system, causing heart blocks [9]. The ventriculogram in our patient demonstrated compression of the left coronary artery, although the electrocardiogram did not reveal any ischemic changes.…”

Section: Commentmentioning

confidence: 53%

“…The submitral aneurysms are more common than the subaortic type [1]. Subaortic and submitral aneurysms arise in the fibro-muscular rings of the aortic valve and mitral valve annuli, respectively [2].…”

Section: Commentmentioning

confidence: 99%

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Development of a Subaortic Aneurysm Secondary to Disseminated Tuberculosis in a Child

Takawira

Joshi

Plessis

2010

The Annals of Thoracic Surgery

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Subvalvular aneurysms of the left ventricle are very rare and often the cause is uncertain. Very little data in the literature describes subvalvular aneurysms in children and most of the data are derived from case reports. We describe a unique case of a human immunodeficiency virus negative child with a tuberculous subaortic aneurysm observed at different stages of development by serial transthoracic echocardiography. The patient underwent successful cardiac surgery after the initial conservative treatment for tuberculosis (TB).A 3-year-old black boy who was negative for human immunodeficiency virus presented to our institution with a 1-week history of coughing, fever, night sweats, and generalized body swelling. On examination he appeared chronically ill and was underweight for his age. He had generalized lymphadenopathy in the axillary, supraclavicular, cervical, and submandibular regions. He had ascites, hepatomegaly (liver span, 12 cm), and splenomegaly (3 cm below costal margin). The boy was tachypneic with a respiratory rate of 50 breaths/min. He had intercostal and subcostal recession and audible bilateral rhonchi. His heart rate was150 beats/min, with a gallop rhythm present and with muffled heart sounds. There were no murmurs, but he was in congestive cardiac failure. His blood pressure was 80/40 mm Hg.A chest roentgenogram demonstrated cardiomegaly, a widened mediastinum, and paratracheal lymphadenopathy. The C-reactive protein, lactate dehydrogenase levels, and erythrocyte sedimentation rate were elevated. Echocardiography (Fig 1) revealed normal intracardiac anatomy with a large organized and loculated pericardial effusion. A biopsy of a supraclavicular lymph node demonstrated caseating necrosis with sites of granulomatous inflammation. Epitheloid cell granulomas and Langhans giant cells were also seen. The Ziehl Neelsen stain highlighted occasional acid and alcohol fast bacilli, which confirmed the TB. There were no features of lymphoma or malignancy present. Mycobacterium TB was also isolated on cultures of gastric aspirates. A diagnosis of disseminated TB with organized TB pericarditis was made.

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“…On the other hand, aneurysms of the Sinus of Valsalva can appear in any of the three sinuses, but subaortic aneurysms only occur below of the intermediate portion of the left aortic sinus 7 . Moreover, confirmation of these injuries through fetal echocardiography confirms without a doubt the congenital origin of many of these aneurysms 8 .…”

Section: Discussionmentioning

confidence: 72%

Submitral left ventricular aneurysm. Case report and review of published Brazilian cases

Ribeiro¹,

Mendes²,

Vicente³

et al. 2001

Arq. Bras. Cardiol.

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Submitral left ventricular aneurysm is a cardiac pathology widely recognized, but relatively unknown, occurred almost exclusively in African black patients. Although still this idea of racial prevalence exists, cases have been described in patients of all the races. Ten Brazilian cases were reported. One of them was presented inside an Italian paper that refers the surgical treatment of a Brazilian patient of black race. We reported one more submitral left ventricular aneurysm case in a brown female patient, with antecedents of peripheral thromboembolism initially not identified as consequence of the cardiac pathology

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Congenital Aneurysms Adjacent to the Anuli of the Aortic and/or Mitral Valves

Cited by 50 publications

References 9 publications

Submitral aneurysm of the left ventricle

Submitral aneurysm of the left ventricle

Development of a Subaortic Aneurysm Secondary to Disseminated Tuberculosis in a Child

Submitral left ventricular aneurysm. Case report and review of published Brazilian cases

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