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Isolated congenital ventricular septal aneurysm in an adult--a case report

Hsin-Yueh Liang1, Chee-Siong Lee, Ching-Cheng Lin

  • 1Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 80707, Taiwan.

The Kaohsiung Journal of Medical Sciences
|June 12, 2002
PubMed

Congenital ventricular septal aneurysm without ventricular septal defect is a very rare condition. We describe the clinical features of an adult case and the literature was reviewed. A 54-year-old woman experienced intermittent palpitation with rapid heart beating sensation for several years. The duration was only several seconds. There was neither congestive heart failure nor syncope history. Physical examination revealed mid-systolic click with grade II/VI systolic murmur at apical area. Echocardiography disclosed mitral valve prolapse with mild mitral regurgitation. A ventricular septal aneurysm bulging into right ventricle was found incidentally. Transesophageal echocardiographic and cardiac angiographic pictures of ventricular septal aneurysm were demonstrated. Since the patient was relatively asymptomatic, no surgical intervention was advised.

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