Submitral Aneurysm of the Left Ventricle

Jetley, V; Duggal, JS; Singh, Charanjit; Sk, Das; Sabharwal, JS; Sofat, Sunil; Mehta, Manisha

doi:10.1016/s0377-1237(04)80023-6

Cited by 6 publications

(7 citation statements)

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“…They may present with myocardial ischaemia secondary to the compression of left main artery, 2 left circumflex artery, 12 thromboembolism, 13 and arrhythmias. 3,14 The case reported here is a large submitral aneurysm presented in a state of cardiogenic shock. This could be due to the inadequate stroke volume secondary to stealing of a large part of it into the aneurysm.…”

Section: Discussionmentioning

confidence: 96%

“…1 While this racial predilection is still prevalent, cases have been described in patients of other races from different parts of the world including India. Patients with submitral aneurysm exhibit varied clinical manifestations, [2][3][4] and are reported to have poor surgical outcome. We report a young female with a large submitral aneurysm of the LV who presented in cardiogenic shock.…”

Section: Introductionmentioning

confidence: 99%

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Submitral aneurysm of the left ventricle

Baruah

Kumar

Reddy

et al. 2012

Indian Heart Journal

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Submitral aneurysm of the left ventricle

Baruah

Kumar

Reddy

et al. 2012

Indian Heart Journal

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“…Trauma, infection, inflammation and iatrogenic causes are other known causes of acquired SMA. Acquired infective causes of SMA have been reported as tuberculosis [59,67,68], rheumatic endocarditis [59], acute rheumatic fever [69], mitral valve endocarditis [70], infective endocarditis, syphilis [71], trypanosomiasis [56] whereas polyarteritis nodosa, Takayasu arteritis [72] are inflammatory causes. Among the iatrogenic causes mitral valve replacement, and as a sequela to electrophysiology studies have been reported previously [73].…”

Section: Pathophysiologymentioning

confidence: 99%

Submitral Aneurysm Secondary to Infective Endocarditis: Review of Literature and Case Report

Shakapur¹,

Honnalli²,

Mali³

2019

Angiol Open Access

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Submitral aneurysm is seldom reported worldwide. It is thought to be caused by weakness in the cardiac musculature due to abnormal embryogenesis. Mostly these aneurysms were reported from Africa in black African population. Apart from congenital cause, many other causes have been put forth as its etiology. Among these endocarditis is a known infective etiology. Submitral aneurysm secondary to left sided infective endocarditis is rare. The definitive diagnostic modality and treatment of submitral aneurysm remains echocardiography and surgical correction of aneurysm respectively. The submitral aneurysms as well as infective endocarditis both are known independent risk factors for thromboembolic events and subsequent stroke increasing both morbidity and mortality.The management of submitral aneurysm includes surgical correction by repair of the aneurysm but it requires careful consideration of surgical resection of diseased paravalvular tissue or diseased mitral valve and correction of mitral regurgitation by preforming mitral valve replacement. The surgical approach reduces the risk of recurrent endocarditis and thromboembolic events, thus reducing the risk of stroke. Prior to surgery, patient should receive prophylactic antibiotics for one to two weeks to control any active infective endocarditis. For us successful treatment of a patient suffering from submitral aneurysm due to infective endocarditis was challenging. We are reporting a case of submitral aneurysm secondary to infective endocarditis along with review of literature on infective endocarditis and submitral aneurysm.

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“…Acute rupture of aneurysm into left atrial cavity has also been previously reported 2 . Presentation with ventricular tachycardia, thromboembolism, left ventricular diastolic overload, infective endocarditis, left circumflex artery, and left main artery obstruction has been reported 3, 4, 5, 6, 7, 8. A congenital maldevelopment, resulting in weakness of the posterior mitral fibrous annulus causing formation of a true aneurysm, has been considered as an etiology.…”

mentioning

confidence: 94%