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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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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...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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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...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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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...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Related Experiment Video

Updated: Sep 20, 2025

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
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Outcome of submitral aneurysm.

Puneet Aggarwal1, Abhinav Shrivastava1, Dheerendra Kuber1

  • 1Department of Cardiology, ABVIMS and DR RML Hospital, New Delhi, India.

Journal of Cardiac Surgery
|June 7, 2022
PubMed
Summary

Submitral aneurysms are rare cardiac conditions with poor outcomes. Surgical repair is crucial for managing this entity, offering a definitive treatment approach.

Keywords:
acute coronary syndromecongestive heart failuresubmitral aneurysmtuberculosis

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Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Submitral aneurysm is a rare cardiac entity involving outpouching near the mitral valve.
  • Etiologies include infection and inflammation, but clinical outcomes and follow-up data are scarce.

Purpose of the Study:

  • To investigate the clinical outcomes and follow-up of adult patients diagnosed with submitral aneurysm.

Main Methods:

  • Retrospective observational study of adult patients (>18 years) with submitral aneurysm.
  • Data collected: epidemiological, demographic, laboratory, clinical management, and outcomes (cardiac death, noncardiac death, hospitalization, surgical repair, echocardiography parameters) for 1-year postdischarge.

Main Results:

  • 10 adult patients (mean age 31.2 years) were included.
  • Etiology identified in 50% (tuberculosis, acute coronary syndrome).
  • At index hospitalization: 90% heart failure, 20% rupture, 40% surgery, 10% expired. 1-year follow-up: 1 additional surgical repair, 30% expired.

Conclusions:

  • Submitral aneurysm is a rare cardiac condition associated with poor prognosis.
  • Surgical repair, potentially with mitral valve replacement, is the definitive management strategy.