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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

440
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
440
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

483
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
483
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

316
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
316
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

378
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
378
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

764
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
764
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

607
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
607

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Echocardiographic findings and associated factors in HIV-infected patients at a tertiary hospital in Ethiopia.

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Related Experiment Video

Updated: Feb 12, 2026

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
03:40

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

Published on: January 17, 2025

880

Submitral Left Ventricular Aneurysm Associated with Thrombus.

Abdusamed Adem Abdusamed1, Hailu Abera Mulatu1, Reinaldo Nunez Martinez2

  • 1Cardiology Unit, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Ethiopian Journal of Health Sciences
|April 7, 2018
PubMed
Summary
This summary is machine-generated.

Submitral left ventricular aneurysm is a rare cardiac condition. Echocardiography aids diagnosis, but surgery, the definitive treatment, is inaccessible in many regions, posing challenges for patient care.

Keywords:
Ethiopiaheart failuresubmitral aneurysmthrombus

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Diagnostic Imaging

Background:

  • Submitral left ventricular aneurysm is a rare cardiac abnormality, more prevalent in Black populations.
  • Limited case reports exist from East Africa, highlighting the rarity in the region.
  • This case report details an unusual presentation encountered at St. Paul's Hospital Millennium Medical College.

Observation:

  • A 25-year-old female presented with NYHA class IV heart failure, severe mitral regurgitation, and left ventricular thrombus.
  • Transthoracic echocardiography facilitated a straightforward diagnosis of submitral left ventricular aneurysm.
  • Initial management involved medical therapy for heart failure and anticoagulation.

Findings:

  • The patient showed clinical improvement, with NYHA class II heart failure and improved systolic function at 3-month follow-up.
  • Resolution of the left ventricular thrombus was observed.
  • Persistent severe mitral regurgitation and the aneurysm remained significant findings.

Implications:

  • Echocardiography is a valuable tool for diagnosing submitral left ventricular aneurysm.
  • While surgery offers definitive treatment, its unavailability and cost create significant barriers to care.
  • Further research and accessible treatment strategies are needed for this rare condition.