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[Submitral left ventricular aneurysm in a Brazilian Indian]
V A Moisés1, J P Vieira Filho, J L Andrade
1Escola Paulista de Medicina, São Paulo.
Arquivos Brasileiros De Cardiologia
|May 1, 1993
Summary
Subvalvar left ventricular aneurysm, a rare condition, was diagnosed in a Brazilian Indian patient presenting with heart failure. Surgical intervention revealed an undetected aneurysm perforation, highlighting diagnostic challenges.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Diagnostics
Background:
- Subvalvar left ventricular aneurysm is a rare condition with an unknown cause, predominantly reported in individuals of Black African descent.
- This report details a unique case in a Brazilian Indian presenting with heart failure and mitral regurgitation murmur.
Observation:
- Initial assessment included chest X-ray revealing a subtle bulge on the left cardiac border.
- Two-dimensional echocardiography and left ventricular angiography confirmed the presence of a submitral left ventricular aneurysm.
Findings:
- Surgical treatment involved aneurysm resection and mitral valvuloplasty.
- A significant finding during surgery was an aneurysm perforation, which was not identified by preoperative imaging (echocardiography or angiography).
Implications:
- This case expands the known demographic profile for subvalvar left ventricular aneurysm.
- It underscores the limitations of current imaging modalities in detecting all pathological features of this rare cardiac condition.
- Highlights the importance of surgical exploration for definitive diagnosis and treatment planning in complex cardiovascular cases.