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CASE REPORT
Multimodality cardiac imaging of submitral left ventricular aneurysm with concurrent descending aorta mycotic aneurysm
  1. Hazrini Abdullah1,
  2. Kam Jiyen2,
  3. Norliza Othman1
  1. 1Department of Imaging, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia
  2. 2Department of Cardiology, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia
  1. Correspondence to Dr Hazrini Abdullah, hazrini{at}hotmail.com

Summary

We present a case of a 20-year-old Malay man with underlying tuberculous (TB) lymphadenitis who presented with shortness of breath and found to have submitral left ventricular aneurysm (SLVA). SLVA is well recognised but rare. Incidence of SLVA in Malay has never been documented. This is the first reported case of SLVA in Malays with concomitant thoracic aorta mycotic aneurysm. TB has been reported to be associated with SLVA. Treatment is either surgical or conservative. Imaging is required for diagnosis and preoperative assessment. Multimodality imaging include echocardiography (ECHO), cardiac CTangiography and the robust multiparametric cardiac MR (CMR). ECHO is the first line imaging and useful for initial detection of the aneurysm. CMR including the late gadolinium enhancement allows excellent visualisation of the LV aneurysm, tissue characterisation, cardiac function and detection of associated pathology as shown in this case.

  • radiology
  • cardiovascular medicine
  • tuberculosis

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Footnotes

  • Handling editor Seema Biswas

  • Contributors HA is the main author involved in all the planning, design, conduct, images and video preparation as well as final reporting of the work described in the article. NO is the coauthor, significantly contributed in the initial design, overall progress, write up of the article and is the main contributor in the images interpretation. KJ contributed in the ECHO and contributed in design of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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