Two-dimensional echocardiographic features of submitral left ventricular aneurysm

Congenital diverticulum of the left ventricle. Report of two unusual cases.

“…Cross sectional echocardiography may, however, be of more help, especially in the diagnosis of an interventricular septum, left ventricular wall, or subvalvular aneurysm or diverticulum. 23 Roentgenograms of the chest may show only cardiomegaly or protrusion at the region of the aneurysm, which could be a clue to the diagnosis.4 1014 Patients with small diverticula may have a 325 totally normal chest radiograph.6 Cardiac catheterisation and angiography appear to be the only reliable and conclusive procedures for diagnosing the disease and its associated cardiac lesions and for determining the need for surgery. I thank Ms Barbara P Hyde, senior editor of the King Faisal Specialist Hosptial Medical Joumal, for reviewing this manuscript.…”

Sub mitral left ventricular aneurysm—Our experience

“…Clinical symptoms arise as a result of valvular regurgitation or occasionally from compression of cardiac structures [3]. Because a submitral left ventricular aneurysm can be asymptomatic for many years; it may not be detected unless routine echocardiography is performed [5]. In our patients presentation was in the form of shortness of breath on exertion probably due to the development of mitral regurgitation.…”

“…Diagnosis by chest x ray is easy if the calcification is present in the aneurysm wall [4]. At present, the transthoracic and transesophageal echocardiography are the most accurate diagnostic tools [5]. The typical location of the aneurysm and the absence of coronary artery disease on angiography confirms the diagnosis of SLVA.…”

Intraoperative diagnosis of an unsuspected ruptured left ventricular aneurysm using transesophageal echocardiography: A case report

“…The posterolateral site of the aneurysm is also uncommon. Although TTE plays a useful role in the diagnosis of LV aneurysms, it can fail to detect those located posteriorly because of limited access to the posterior ventricular wall. In contrast, the proximity of the esophagus to the posterior ventricular wall makes TEE ideal for detecting posterior aneurysm .…”