Outcome of submitral aneurysm
© 2022 Wiley Periodicals LLC..
INTRODUCTION: Submitral aneurysm is a rare cardiac entity with outpouching in relation to the posterior annulus of the mitral valve. Multiple etiology have been described with the role of infection and inflammation with varied clinical presentation in different case reports. However, the literature on clinical outcome and follow-up is lacking.
MATERIAL AND METHOD: This retrospective, observational study included all the adult patients (>18 years) who were diagnosed with a submitral aneurysm. Epidemiological, demographic, laboratory, clinical management, and outcome data were extracted and followed for the endpoints of cardiac death, noncardiac death, recurrent hospitalization (due to heart failure, rupture, arrhythmic events, embolic events), surgical repair, and echocardiography parameters for mitral regurgitation or change in the size of the left ventricle for 1-year postdischarge from the index hospitalization.
RESULTS: A total of 10 patients were enrolled in the study with a mean age of 31.2 ± 11.1 years. Possible etiology could be established in only five (50%) patients (two patients had tuberculosis and three patients had acute coronary syndrome). At index hospitalization, nine (90%) patients had heart failure, two (20%) patients had rupture of a submitral aneurysm, four patients underwent surgery, and one patient expired. On follow-up of 1 year, one more patient underwent surgical repair while three patients expired.
CONCLUSION: A submitral aneurysm is a rare cardiac entity with poor outcomes. Surgical repair with or without mitral valve replacement plays a definitive role in management.
| Errataetall: |
CommentIn: J Card Surg. 2022 Sep;37(9):2682-2684. - PMID 35661259 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Journal of cardiac surgery - 37(2022), 9 vom: 01. Sept., Seite 2673-2681 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Aggarwal, Puneet [VerfasserIn] |
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| Links: |
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| Themen: |
Acute coronary syndrome |
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| Anmerkungen: |
Date Completed 03.08.2022 Date Revised 12.10.2022 published: Print-Electronic CommentIn: J Card Surg. 2022 Sep;37(9):2682-2684. - PMID 35661259 Citation Status MEDLINE |
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| doi: |
10.1111/jocs.16663 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM341931705 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 Wiley Periodicals LLC. | ||
| 520 | |a INTRODUCTION: Submitral aneurysm is a rare cardiac entity with outpouching in relation to the posterior annulus of the mitral valve. Multiple etiology have been described with the role of infection and inflammation with varied clinical presentation in different case reports. However, the literature on clinical outcome and follow-up is lacking | ||
| 520 | |a MATERIAL AND METHOD: This retrospective, observational study included all the adult patients (>18 years) who were diagnosed with a submitral aneurysm. Epidemiological, demographic, laboratory, clinical management, and outcome data were extracted and followed for the endpoints of cardiac death, noncardiac death, recurrent hospitalization (due to heart failure, rupture, arrhythmic events, embolic events), surgical repair, and echocardiography parameters for mitral regurgitation or change in the size of the left ventricle for 1-year postdischarge from the index hospitalization | ||
| 520 | |a RESULTS: A total of 10 patients were enrolled in the study with a mean age of 31.2 ± 11.1 years. Possible etiology could be established in only five (50%) patients (two patients had tuberculosis and three patients had acute coronary syndrome). At index hospitalization, nine (90%) patients had heart failure, two (20%) patients had rupture of a submitral aneurysm, four patients underwent surgery, and one patient expired. On follow-up of 1 year, one more patient underwent surgical repair while three patients expired | ||
| 520 | |a CONCLUSION: A submitral aneurysm is a rare cardiac entity with poor outcomes. Surgical repair with or without mitral valve replacement plays a definitive role in management | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a acute coronary syndrome | |
| 650 | 4 | |a congestive heart failure | |
| 650 | 4 | |a submitral aneurysm | |
| 650 | 4 | |a tuberculosis | |
| 700 | 1 | |a Shrivastava, Abhinav |e verfasserin |4 aut | |
| 700 | 1 | |a Kuber, Dheerendra |e verfasserin |4 aut | |
| 700 | 1 | |a Nath, Ranjit Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Sinha, Santosh Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Kumar, Tarun |e verfasserin |4 aut | |
| 700 | 1 | |a Raj, Ajay |e verfasserin |4 aut | |
| 700 | 1 | |a Pandit, Bhagya Narayan |e verfasserin |4 aut | |
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