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Eur J Cardiothorac Surg 2007;32:802. doi:10.1016/j.ejcts.2007.07.035
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Calcified submitral aneurysm

Jayavelan Ramkumar*, Alpha Mathew Kavunkal, Vijit Koshy Cherian

Department of Cardiothoracic Surgery, Christian Medical College, Vellore - 632 004, India

Received 27 June 2007; received in revised form 19 July 2007; accepted 20 July 2007.

* Corresponding author. Address: Department of Cardiothoracic Surgery Unit-1, Christian Medical College, Vellore - 632 004, India. Tel.: +91 416 2282157/2282029/2222102; fax: +91 416 2232035/2232103. (Email: cardiothoracic1{at}cmcvellore.ac.in).

Key Words: Calcification • Submitral • Aneurysm

Transthoracic echocardiogram of a 56-year-old lady revealed submitral aneurysm with severe mitral regurgitation. Chest roentgenogram (Fig. 1a) and computerised tomography (Fig. 1b) demonstrated the calcification of aneurysm. She underwent a successful mitral valve replacement with Dacron patch exclusion of aneurysm through endoventricular route (Fig. 2 ).


Figure 1
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  		Fig. 1. (a) Chest roentgenogram demonstrating circular rim of calcification along the left border of heart (arrow). (b) CT scan demonstrating the calcified submitral aneurysm measuring 2.5 cm x 3.0 cm (arrow).

 

Figure 2
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  		Fig. 2. Intraoperative photograph of calcified submitral aneurysm from epicardial surface.

 





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