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Archives of cardiovascular diseases
Volume 102, n° 2
pages 157-158 (février 2009)
Doi : 10.1016/j.acvd.2008.09.010
Received : 3 September 2008 ;  accepted : 18 September 2008
Submitral left ventricular aneurysm presenting as a “strange” mitral valve prolapse
Anévrisme ventriculaire gauche sous-annulaire mitral se présentant comme un « étrange » prolapsus de la valve mitrale
 

Fig. 1




Fig. 1 : 

A. Preoperative transthoracic echocardiography showing systolic prolapse of paraannular tissue in the left atrium (arrows) forming a large paraannular aneurysm, widely communicating with the left ventricular cavity (arrowhead). B and C. Transoesophageal echocardiography showing large subannular aneurysm in the anterior-lateral region of the posterior mitral annulus (B, arrow) with severe mitral regurgitation (C, small arrow) and systolic filling of the aneurysm (C, arrowhead). D. Preoperative cardiac ventriculography showing systolic expansion of the aneurysm (arrow). E. Preoperative coronary angiography showing systolic compression of the distal circumflex coronary artery (arrow). LV: left ventricle; RV: right ventricle; RA: right atrium; LA left atrium; SMA: submitral aneurysm.

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