J Cardiovasc Ultrasound.  2015 Mar;23(1):52-53. 10.4250/jcu.2015.23.1.52.

Basal Interventricular Septal Aneurysm in Rheumatic Mitral Stenosis

• Kharwar RB
• Sethi R
• Chandra S

• KMID: 2135409
• DOI: http://doi.org/10.4250/jcu.2015.23.1.52

Abstract

No abstract available.

Keyword

Interventricular septum; Aneurysm; Mitral stenosis; Echocardiography

MeSH Terms

Aneurysm*
Echocardiography
Mitral Valve Stenosis*

Figure

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  Fig. 1 Two dimensional transthoracic echocardiography. The presence of severe calcific mitral stenosis can be seen in apical four chamber as well as short axis view (arrow in A and C) with a mean and peak resting gradient of 30 mm Hg and 13 mm Hg respectively on continuous wave Doppler (D). The jet of the mitral stenosis is eccentrically directed towards the basal interventricular septum (color flow in B and C) likely responsible for the aneurysmal defect of the basal septum (arrowhead in A). Also note the marked dilatation of the LA. LA: left atria, LV: left ventricle, RA: right atria, RV: right ventricle.

Reference

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2. Kasprzak JD, Borkowski M, Rogowski W, Drozdz J, Krzemin´ska-Pakula M. A congenital complex including muscular interventricular septal aneurysm in an adult: case report and review of literature. Int J Cardiovasc Imaging. 2002; 18:25–30.

3. Mohan JC, Nath LR. Aneurysmal deformity of the basal interventricular septum secondary to impinging turbulent transprosthetic eccentric flow jets. Indian Heart J. 2005; 57:258–260.