CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 225-228

A case of submitral left ventricular aneurysm (SMA), presenting with acute rheumatic fever with HIV infection


1 Department of Emergency Medicine, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
2 Department of Medicine, B. J. Medical College and Sassoon General Hospital, Pune, Maharashtra, India

Correspondence Address:
Rajeshwari S Vohra
D3 Clover Garden, 4 Naylor Road, Off Mangaldas Road, Pune - 411 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.126355

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Submitral aneurysm (SMA) is a rare congenital out-pouching of left ventricular wall, invariably occurring adjacent to the posterior leaflet of mitral valve. We describe a patient who had rare co existence of SMA, rheumatic heart disease and HIV infection. Our patient presented with acute rheumatic fever in acute decompensated heart failure (ADHF) profile B. Patient was also detected to be having HIV infection. On echocardiography submitral left ventricular aneurysm posteriorely below the posterior mitral leaflet (PML) was detected.


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