Successful surgical repair of an annular submitral aneurysm of the left ventricle in two patients is described. In both cases the diagnosis was made at surgery and they were treated successfully by transatrial closure of the aneurysm with Teflon felted sutures and mitral valve replacement. This is the first report of the use of mitral valve replacement for this condition.

BACKGROUND Secondary involvement of the mitral-aortic intervalvular fibrosa and the anterior mitral leaflet (subaortic structures) can occur in patients with aortic valve endocarditis. The secondary involvement of these structures occurs as a result of direct extension of the infection from the aortic valve or as a result of an infected aortic regurgitant jet striking the ventricular surfaces o...

Figure 1 – Transthoracic echocardiography (TTE): apical 4-chamber view – image of the calcified nodule on the posterior leaflet (P1–P2 transition), under which lies an aneurysm of the mitral valve in diastole (A) and systole (B) – white arrow. C. Transesophageal echocardiography (TEE): mid-esophageal 5-chamber view (0°) – image of saccular aneurysm on the posterior leaflet of the mitral valve (...

introduction: retinal vein occlusion  is a common vascular disorder disrupting vision. two basic types of rvo are branch retinal vein occlusion and central retinal vein occlusion (crvo).  retinal vein occlusion is a multifactor process including systemic illness and local retinal factors.rvo may be associated with atherosclerotic risk factors. we analyzed the role of 2 dimensional transthoracic...

Three-dimensional echocardiography offers great promise for improving the understanding of the mitral valve anatomy, function, and pathology. It may have important implications for medical or surgical management of different mitral valve disease. In this article we provide an overview of the three-dimensional anatomy of the mitral valve. Based on the studies using three-dimensional echocardiogr...

osteogenesis imperfecta (oi) as an inherited connective tissue disorder can affect all tissues that contains type i collagen. well-known cardiac complications of this disease such as aortic root dilatation, aortic regurgitation and mitral valve prolapse have been rarely reported in the literature. coronary artery aneurysm is a rare cardiac complication in oi, as reported in a 19 year old female...

To date, S. alactolyticus endocarditis complicated by middle cerebral artery aneurysm has not been reported. We describe the case of a 65-year-old female with a history of hypertrophic cardiomyopathy with left ventricular outflow tract obstruction presenting with confusion and a apical holosystolic murmur. Angiography of the brain identified new bilobed left middle cerebral artery aneurysm. Ser...

1 of 2 DESCRIPTION Rupture of mitral-aortic intervalvular fi brosa aneurysm is a rare complication of aortic valve endocarditis. 1 A 43-yearold man presented with persistent fever and progressive dyspnoea of 3 months duration. On admission, he was in fl orid pulmonary oedema and clinical examination showed fi ndings of severe aortic regurgitation. His electrocardiogram revealed complete heart b...