Subaortic aneurysm in a case of aortic coarctation: Case report

Kamble, Malan Shankar; Kamat, Smita Vaman

doi:10.1007/bf02735587

Cited by 3 publications

(7 citation statements)

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“…The histology of the resected specimen showed fibrocollagenous tissue with hyalinisation and the absence of cardiac muscle or aortic media representing a ‘false’ aneurysm morphology and additionally showed no evidence of inflammation or infection (figure 6A, B). Subaortic aneurysms can co-occur with other conotruncal anomalies like an SOV aneurysm or other congenital anomalies like bicuspid aortic valve, atrial or ventricular septal defects and coarctation of aorta 6 10 13. Our patient did not have any such coexistent pathology, and the aortic valve was trileaflet with normal morphology as confirmed intraoperatively (figure 5C).…”

Section: Discussionsupporting

confidence: 58%

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

et al. 2016

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Subvalvular aneurysms are the least common type of left ventricular (LV) aneurysms and can be fatal. Subaortic LV aneurysms are much rarer than submitral LV aneurysms and mostly reported in infancy. They can be congenital or acquired secondary to infections, cardiac surgery or trauma. Here, we report a unique presentation of a large, idiopathic subaortic aneurysm in an adult masquerading as an acute coronary syndrome. Diagnosis was made with the help of a CT aortography. Aneurysm was surgically resected with good results. This case highlights the clinical presentation and management of subaortic aneurysms, an important differential for congenital aortic malformations.

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Section: Discussionsupporting

confidence: 58%

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

et al. 2016

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“…With respect to drawing conclusions from the literature, we then synthesized all available data in this narrative review to outline the issues of concern, diagnostic clues, and various techniques performed to repair the primary as well as concomitant anomalies. 1 …”

Section: Methodsmentioning

confidence: 99%

“…Infrequently, these lesions have also been described following chest trauma, 45,46 bacterial/fungal endocarditis, prosthetic valve endocarditis, cardiac tuberculosis, and rheumatic carditis. 8 -11,15,16,20,21,33,36,40,41,46,49 -52,54,55 In cases associated with infective endocarditis, the infection perforates the zone of fibrous continuity between the mitral and aortic valve causing seepage of blood into the epicardial wedge overlying the fibrosa, thereby producing a false aneurysm between the aorta and the left atrium. 8 -11 In the published literature, subvalvular aortic aneurysms as a complication of infective endocarditis have been detected in up to 10% of patients undergoing valve replacement for aortic valve endocarditis.…”

Section: Methodsmentioning

confidence: 99%

“…15,57 The causal effect of all these infections has remained speculative, as it may just reflect the higher incidence of infections in those endemic areas. 15,20,40,46,54,55 Pellatt 58 described a case of subvalvular aortic aneurysm associated with stenosis of the ostium of the coronary sinus and suggested that venous obstruction with consequent ischemia was the cause of the aneurysm. Analysis of all the clinical and autopsy case reports in this review revealed the etiologies of subvalvular aortic aneurysm as congenital in 55.8% ( n = 43), infective endocarditis in 36.4% ( n = 28), and postsurgical in 7.8% ( n = 6) of cases.…”

Section: Methodsmentioning

confidence: 99%

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A Review on the Surgical Management of Subvalvular Aneurysm

George

Chowdhury

Singh

et al. 2020

World J Pediatr Congenit Heart Surg

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The present perspective is a synthesis of published investigations in the setting of subvalvular aortic aneurysms. We identified 75 investigations and reviewed the clinical presentation, diagnostic modalities used, surgical techniques employed, and their outcomes. Clinical presentation, radiographic findings, transthoracic and transesophageal echocardiography, electrocardiogram-gated computerized tomography, and magnetic resonance imaging provided the diagnostic information and were used to define the disease entity before surgery. In this article, we have attempted to address several issues concerning establishment of diagnosis, varied clinical presentation, and their management. We submit that an increased appreciation of this disease entity will contribute to improved surgical management.

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“…The majority of these patients are of African ancestry, although similar conditions have been found to a lesser degree in other race groups [ [1], [3] and [4]]. They have also been described as a complication in patients with infective endocarditis, tuberculosis, and syphilis [ [4], [5], [6] and [7]]. Du Toit and colleagues [6] in their series of 12 patients found an association with rheumatic carditis in 2 patients.…”

Section: Commentmentioning

confidence: 97%

Development of a Subaortic Aneurysm Secondary to Disseminated Tuberculosis in a Child

Takawira

Joshi

Plessis

2010

The Annals of Thoracic Surgery

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Subvalvular aneurysms of the left ventricle are very rare and often the cause is uncertain. Very little data in the literature describes subvalvular aneurysms in children and most of the data are derived from case reports. We describe a unique case of a human immunodeficiency virus negative child with a tuberculous subaortic aneurysm observed at different stages of development by serial transthoracic echocardiography. The patient underwent successful cardiac surgery after the initial conservative treatment for tuberculosis (TB).A 3-year-old black boy who was negative for human immunodeficiency virus presented to our institution with a 1-week history of coughing, fever, night sweats, and generalized body swelling. On examination he appeared chronically ill and was underweight for his age. He had generalized lymphadenopathy in the axillary, supraclavicular, cervical, and submandibular regions. He had ascites, hepatomegaly (liver span, 12 cm), and splenomegaly (3 cm below costal margin). The boy was tachypneic with a respiratory rate of 50 breaths/min. He had intercostal and subcostal recession and audible bilateral rhonchi. His heart rate was150 beats/min, with a gallop rhythm present and with muffled heart sounds. There were no murmurs, but he was in congestive cardiac failure. His blood pressure was 80/40 mm Hg.A chest roentgenogram demonstrated cardiomegaly, a widened mediastinum, and paratracheal lymphadenopathy. The C-reactive protein, lactate dehydrogenase levels, and erythrocyte sedimentation rate were elevated. Echocardiography (Fig 1) revealed normal intracardiac anatomy with a large organized and loculated pericardial effusion. A biopsy of a supraclavicular lymph node demonstrated caseating necrosis with sites of granulomatous inflammation. Epitheloid cell granulomas and Langhans giant cells were also seen. The Ziehl Neelsen stain highlighted occasional acid and alcohol fast bacilli, which confirmed the TB. There were no features of lymphoma or malignancy present. Mycobacterium TB was also isolated on cultures of gastric aspirates. A diagnosis of disseminated TB with organized TB pericarditis was made.

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Subaortic aneurysm in a case of aortic coarctation: Case report

Abstract: Subaortic aneurysms are very rare and of uncertain etiology. We present a unique case in which coarctation of the aorta and biscuspid valve predisposed to infective endocarditis and formation of a mycotic subaortic aneurysm.

Cited by 3 publications

References 3 publications

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

A Review on the Surgical Management of Subvalvular Aneurysm

Development of a Subaortic Aneurysm Secondary to Disseminated Tuberculosis in a Child

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