title: Transmitral exclusion of a giant congenital left ventricular aneurysm associated with mitral insufficiency in adult.
abstract: Congenital left ventricular aneurysm is rare, poorly understood and potentially lethal. It usually occurs in isolation. Its combination with mitral insufficiency is an uncommon entity. Because the literature on this kind of aneurysms consists of case reports and small series described especially in children, we report here an interesting and unique case of an adult aged 35 years bearing simultaneously a congenital left ventricular aneurysm and mitral insufficiency. Without medical past history, he consults for palpitations and dyspnoea. Once diagnosis was made by chest X-ray, echocardiography and computed tomography, an open heart surgery was necessary to prevent complications. Through a transmitral approach, aneurysmal exclusion was performed by closing the aneurysmal collar with a Dacron patch and mitral replacement was accomplished. At 12 months, follow-up was favourable without residual communication between aneurysm and ventricle or paraprosthetic leak.
authors.affiliation: Department of Cardiac Surgery A, Ibn Sina Hospital, Rabat, Morocco hicham_elmalki@yahoo.fr.
authors.forename: Hicham
authors.initials: H
authors.lastname: El Malki
authors.affiliation: Department of Cardiology, Ibn Sina Hospital, Rabat, Morocco.
authors.forename: Tahar
authors.initials: T
authors.lastname: El Kandoussi
authors.affiliation: Department of Cardiac Surgery A, Ibn Sina Hospital, Rabat, Morocco.
authors.forename: Jaafar
authors.initials: J
authors.lastname: Rhissassi
authors.affiliation: Department of Cardiac Surgery A, Ibn Sina Hospital, Rabat, Morocco.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Laaroussi
mesh_terms: D000328:Adult; D006322:Heart Aneurysm / Q000150:complications / Q000151:congenital / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*
keywords: Congenital aneurysm; Left ventricle; Mitral insufficiency