A case of submitral left ventricular aneurysm (SMA), presenting with acute rheumatic fever with HIV infection

Abstract

Submitral aneurysm (SMA) is a rare congenital out-pouching of left ventricular wall, invariably occurring adjacent to the posterior leaflet of mitral valve. We describe a patient who had rare co existence of SMA, rheumatic heart disease and HIV infection. Our patient presented with acute rheumatic fever in acute decompensated heart failure (ADHF) profile B. Patient was also detected to be having HIV infection. On echocardiography submitral left ventricular aneurysm posteriorely below the posterior mitral leaflet (PML) was detected.

Keywords

• Acute rheumatic fever
• Submitral left ventricular aneurysm
• HIV infection