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INTERESTING CASE REPORT
Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 49-52

A Rare Case of Coexisting Subaortic and Submitral Left Ventricular Aneurysms


MAX Diagnostics, Cuttack, Odisha, India

Correspondence Address:
Dr. Biswaranjan Mishra
201, Chandralok Apartment, Professorpada, Cuttack - 753 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiae.jiae_43_19

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Subvalvar left ventricular aneurysm is a rare disorder. Commonly it occurs below the posterior annulus of the mitral valve. Rarely the aneurysm may be found below the aortic annulus. Coexistence of both aortic and submitral aneurysms is still rarer. Here is a 58-year-male who presented with heart failure. Echo revealed an aneurysm below the aortic annulus adjacent to right coronary cusp collapsing in diastole and enlarging in systole. Doppler interrogation showed flow into and out of aneurysm from left ventricle and mild aortic regurgitation. In addition there was a submitral aneurysm below the posterior mitral leaflet with a single localised neck and mild mitral regurgitation. There was evidence of moderate left ventricular systolic dysfunction and grade II diastolic dysfunction with features of right heart failure. He was given diuretics and referred for surgery.


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