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Acquired Annular Subvalvular Aneurysm Complicated by a Fistulous Tract

Year: 2025

Type: article

Abstract: We report a case of an annular subvalvular left ventricular aneurysm in a 60-year-old Caucasian woman with a history of rheumatoid arthritis, hypertrophic cardiomyopathy and methicillin-resistant Staphylococcus aureus bacteremia. Initial transthoracic echocardiography failed to identify the aneurysm, but trans-esophageal echocardiography and cardiac magnetic resonance imaging confirmed the diagnosis. The patient underwent repair of left ventricular pseudoaneurysm with bovine pericardium patch and is doing well postoperatively with residual pulmonary hypertension, left ventricular intracavitary gradient, and right ventricular dysfunction.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103501

Authors: Ali Hyder Nazeer, Iman Mushfiq Farooqui, Rizwan Alimohammad, Brion Winston

Institutions: Aga Khan University, Capital Cardiology Associates, Albany Medical Center Hospital

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850