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[Subvalvular left ventricular aneurysm. Report of 2 cases]
G Kimbally-Kaky1, A Ba, C Constantino
1Clinique Cardiologique-Hôpital A. Le Dantec BP 3001 Dakar, Sénégal.
Dakar Medical
|March 22, 2005
Summary
This study details two Senegalese cases of subvalvular left ventricular aneurysm (SVLVA), a rare heart condition. Constant mitral regurgitation and heart failure were observed, with one patient experiencing a fatal cerebral embolism.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Subvalvular left ventricular aneurysm (SVLVA) is a rare cardiac anomaly.
- Understanding its clinical presentation and diagnostic features is crucial for patient management.
Observation:
- Two Senegalese patients presented with SVLVA, characterized by constant mitral regurgitation and heart failure.
- Clinical findings included cardiomegaly, left ventricular vaulting in one case, sinus rhythm on ECG, and an inflammatory syndrome.
- Transthoracic echocardiography revealed a thrombosed subvalvular aneurysm in one patient.
Findings:
- Medical management with furosemide and digoxin was administered.
- Tuberculosis was a comorbidity in one patient.
- Surgical intervention for the aneurysm was not feasible in either case.
Implications:
- SVLVA poses significant management challenges due to potential complications like heart failure and embolism.
- This case report highlights the importance of echocardiography in diagnosing SVLVA.
- Further research is needed to establish optimal treatment strategies for SVLVA.