PMC5866293_01
Parasternal long axis (A), apical 4-chamber (B) views of submitral aneurysm. RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricle, SMA: submitral aneurysm, PML: posterior mitral leaflet, AML: anterior mitral leaflet, AOV: aortic valv
EJHS2801-0093Fig1.jpg
PMC5866293_01_EJHS2801-0093Fig1.jpg
F1
Electrocardiogram showed normal sinus rhythm and trans-thoracic echocardiogram revealed 4.0 cm by 3.9 cm single submitral aneurysm (Figure 1 (A and B) and Figure 2) on the posterolateral wall of the left ventricle.
Parasternal short axis view of submitral aneurysm
EJHS2801-0093Fig2.jpg
PMC5866293_01_EJHS2801-0093Fig2.jpg
F2
Electrocardiogram showed normal sinus rhythm and trans-thoracic echocardiogram revealed 4.0 cm by 3.9 cm single submitral aneurysm (Figure 1 (A and B) and Figure 2) on the posterolateral wall of the left ventricle.
Apical 4-chamber view showing; (A) mitral regurgitation, tricuspid regurgitation (TR) and thrombus in the aneurysm at initial diagnosis (B) mitral regurgitation after three months. SMA: Submitral aneurysm, LV: left ventricle, MR: mitral regurgitation, TR: tricuspid regurgitation, L: vena contracta of mitral regurgitation
EJHS2801-0093Fig3.jpg
PMC5866293_01_EJHS2801-0093Fig3.jpg
F3
There was also mild left ventricular systolic dysfunction with an ejection fraction of about 40%, organized thrombus inside the aneurysm and mild tricuspid regurgitation (Figure 3 (A and B)).