Submitral Aneurysm: An Unusual Aneurysm of the Left Ventricle

Rajbanshi, Bijoy G.; Rajbhandari, Nivesh; Pradhan, Sidharth; Karki, Abhash; Gyawali, Prabesh; Sharma, Mukunda; Lakhey, M; Sharma, Deewakar; Sharma, Anshu

doi:10.1016/j.athoracsur.2018.10.073

Cited by 7 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Micro-abscess along with active inflammation with infiltration predominantly by neutrophils has also been found in the excised sac suggesting an infective component in its etiology. 13 In our study, decisive clinical history regarding the etiology of the submitral aneurysm could be elicited in 5 out of 10 cases. Two patients (patients 2 and 6) had a history of sputum-positive pulmonary tuberculosis and were on an antitubercular drug regime for 6 and 3 months, respectively, before the diagnosis of a submitral aneurysm.…”

Section: Surgical Proceduresmentioning

confidence: 62%

See 1 more Smart Citation

Outcome of submitral aneurysm

Aggarwal

Shrivastava

Kuber

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Introduction: Submitral aneurysm is a rare cardiac entity with outpouching in relation to the posterior annulus of the mitral valve. Multiple etiology have been described with the role of infection and inflammation with varied clinical presentation in different case reports. However, the literature on clinical outcome and follow-up is lacking.Material and Method: This retrospective, observational study included all the adult patients (>18 years) who were diagnosed with a submitral aneurysm. Epidemiological, demographic, laboratory, clinical management, and outcome data were extracted and followed for the endpoints of cardiac death, noncardiac death, recurrent hospitalization (due to heart failure, rupture, arrhythmic events, embolic events), surgical repair, and echocardiography parameters for mitral regurgitation or change in the size of the left ventricle for 1-year postdischarge from the index hospitalization.Results: A total of 10 patients were enrolled in the study with a mean age of 31.2 ± 11.1 years. Possible etiology could be established in only five (50%) patients (two patients had tuberculosis and three patients had acute coronary syndrome). At index hospitalization, nine (90%) patients had heart failure, two (20%) patients had rupture of a submitral aneurysm, four patients underwent surgery, and one patient expired. On follow-up of 1 year, one more patient underwent surgical repair while three patients expired. Conclusion:A submitral aneurysm is a rare cardiac entity with poor outcomes.

show abstract

Section: Surgical Proceduresmentioning

confidence: 62%

“…Indeed inflammatory infiltrates of lymphocytes and histiocytes have been found in the site of the defect 12 . Micro‐abscess along with active inflammation with infiltration predominantly by neutrophils has also been found in the excised sac suggesting an infective component in its etiology 13 …”

Section: Discussionmentioning

confidence: 99%

Outcome of submitral aneurysm

Aggarwal

Shrivastava

Kuber

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

“…Most submitral aneurysms (SMAs) are reported in Africa, with the first case reported in 1962 by Abrahams et al [ 3 ] . Recently, few cases have been reported in the Indian subcontinent [ 4 ] . Clinically, submitral aneurysms are characterized by heart failure, mitral insufficiency, and absence of coronary disease associated with thromboembolic cardiomyopathy and cardiac arrhythmias [ 5 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Either sternotomy or left thoracotomy approach can be used. Aneurysm neck can be accessed through transmitral, left atrial or transaneurysmal route [ 4 , 6 ] . Closing the aneurysm wall over the patch ensured good hemostasis and reduced the chances of patch aneurysm formation.…”

Section: Discussionmentioning

confidence: 99%

Transaneurysmal Repair of a Giant Calcified Submitral Left Ventricular Aneurysm

Sanagar¹,

Kaushik²,

Jadhav³

et al. 2020

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…It is more commonly seen in African blacks but has also been reported in people of all races, including Indians. [ 1 ] The condition typically occurs due to a weakened fibrous annulus of the mitral valve, which can be congenital or predisposed by factors such as rheumatic heart disease, tuberculosis, infective endocarditis, ischemia, or trauma. [ 2 3 4 ] The true incidence of the disease is underestimated because early stages often do not present with clinical symptoms.…”

Section: Introductionmentioning

confidence: 99%

Congenital Sub-Mitral Aneurysm: Anesthetics and Surgical Management

Kalbande,

Singha,

Bodhey

et al. 2024

Annals of Cardiac Anaesthesia

View full text Add to dashboard Cite

A sub-mitral left ventricular aneurysm is a rare condition. It is a congenital outpouching of the left ventricular wall, invariably occurring adjacent to the posterior mitral leaflet. Sub-mitral aneurysm (SMA) has usually been reported as a consequence of myocardial ischemia (MI), rheumatic heart disease, tuberculosis, and infective endocarditis. Nevertheless, there have been few case reports of congenital SMA in India. It usually presents with symptoms of heart failure. We report a rare case of congenital SMA in a 27-year-old young Indian and its successful management through a trans-aneurysmal approach.

show abstract

Submitral Aneurysm: An Unusual Aneurysm of the Left Ventricle

Cited by 7 publications

References 8 publications

Outcome of submitral aneurysm

Outcome of submitral aneurysm

Transaneurysmal Repair of a Giant Calcified Submitral Left Ventricular Aneurysm

Congenital Sub-Mitral Aneurysm: Anesthetics and Surgical Management

Contact Info

Product

Resources

About