Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jan;28(1):93-96.
doi: 10.4314/ejhs.v28i1.11.

Submitral Left Ventricular Aneurysm Associated with Thrombus

Abdusamed Adem Abdusamed  1 , Hailu Abera Mulatu  1 , Reinaldo Nunez Martinez  2
Affiliations
Case Reports

Submitral Left Ventricular Aneurysm Associated with Thrombus

Abdusamed Adem Abdusamed et al. Ethiop J Health Sci. 2018 Jan.

Abstract

Background: Submitral left ventricular aneurysm is a rarely reported cardiac abnormality that is encountered commonly among blacks. So far, only one case has been reported from Ethiopia and East Africa.Our aim is to report an interesting and rare case that we encountered at St. Paul's Hospital Millennium Medical College.

Methods: In April 2017, a 25-year-old patient havingsubmitral left ventricular aneurysm with New York Heart Association (NYHA) class IV heart failure and mild left ventricular systolic dysfunctionreceived medical treatment at our institution. She had severe mitral regurgitation and aneurysmal thrombus. The diagnosis was easily made using GE Vivid E9 transthoracic echocardiography. She was given drugs for management of heart failure and anticoagulation.

Results: Our patient was discharged with a stable condition, and she had no early mortality. At 3 months' follow-up,shehad clinical improvement with NYHA class II heart failure, slight improvement of left ventricular systolic function, and resolution of the left ventricular thrombus. However, there waspersistent severe mitral regurgitation and aneurysm.

Conclusion: Submitral left ventricular aneurysm is a rare cardiac abnormality. Diagnosis can be easily made with echocardiography. Surgery is the definitive treatment. However, it is not currently available in the country and patients cannot afford treatment abroad.

Keywords: Ethiopia; heart failure; submitral aneurysm; thrombus.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Parasternal long axis (A), apical 4-chamber (B) views of submitral aneurysm RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricle, SMA: submitral aneurysm, PML: posterior mitral leaflet, AML: anterior mitral leaflet, AOV: aortic valv
Figure 2
Figure 2
Parasternal short axis view of submitral aneurysm
Figure 3
Figure 3
Apical 4-chamber view showing; (A) mitral regurgitation, tricuspid regurgitation (TR) and thrombus in the aneurysm at initial diagnosis (B) mitral regurgitation after three months SMA: Submitral aneurysm, LV: left ventricle, MR: mitral regurgitation, TR: tricuspid regurgitation, L: vena contracta of mitral regurgitation
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Morais H. Submitral Aneurysm: An Echocardiography Study in a Tertiary Center in Angola. J ClinExpCardiolog. 2014;5:290.
    1. Baruah DK, Naresh Kumar PV, Reddy GSP, Ramesh Babu V. Submitral aneurysm of the left ventricle. Indian Heart Journal. 2012;6401:77–79. - PMC - PubMed
    1. Simpson Leo, Michael DJ, Raymond FS. Perforated Submitral Left Ventricular Aneurysm Resulting in Severe Mitral Annular Regurgitation. Tex Heart Inst J. 2006;33:492–494. - PMC - PubMed
    1. Peters Ferande, Khandheria Bijoy K, et al. Out of Africa: congenital submitral aneurysm with extrinsic compression of the left anterior descending and circumflex arteries. Circulation. 2013;128:1925–1926. - PubMed
    1. Clive SL, Graham EV, Michael MWP. Thrombus within a submitral left ventricular aneurysm: diagnosis on cross sectional echocardiography. Br Heart J. 1991;66:179–181. - PMC - PubMed

Publication types

MeSH terms