Submitral left ventricular aneurysms. Correction by a transmitral approach

Articles in Press

Document Type : Case Report

Authors

1 un Mehta institute of cardiology and research.

2 UN Mehta Institute of cardiology and research.

3 un Mehta institute of cardiology and research

4 Un Mehta Institute of cardiology and research

10.22038/jctm.2024.77005.1441

Abstract

Abstract

Introduction

Submitral aneurysms (SMA)are an uncommon heart condition.SMA is widespread among young Africans .Etiology is mostly congenital when SMA is found in patients of other races, other etiologies must be sought, especially ischemic. The other suggested aetiologies are infection and inflammation. Patients with submitral aneurysm exhibit varied clinical manifestation.





Case presentation

We present the case of a 57-year-old male patient asymptomatic admitted for in whom transthoracic echocardiography revealed a submitral aneurysm

Clinical discussion

Submitral left ventricular aneurysm is a rare cardiac pathology with a variety of causes including inflammation, infection, traumatic illness, or, in rare cases, ischemic heart disease; it can be caused by a congenital defect in the posterior portion of the mitral annulus, which is more common in African population. Clinical manifestations are frequently serious and alarming, such as ventricular tachycardia, cardiogenic shock or an embolic phenomenon; however, asymptomatic cases are possible and rare



Conclusion

What we can retain from our case is that SMA can be the cause or consequence of coronary ischemia, so we must be vigilant in patients with an atypical clinical presentation.

Keywords

Journal of Cardio-Thoracic Medicine

Articles in Press, Accepted Manuscript
Available Online from 24 July 2024

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