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Submitral aneurysm: a rare cause of ventricular tachycardia
  1. Pradeep Kumar,
  2. Jayaraman Balachander,
  3. Raja J Selvaraj
  1. Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Dr Raja Selvaraj, Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India; rajajs{at}gmail.com

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A 42-year-old male presented with sustained ventricular tachycardia of left bundle branch block (LBBB) morphology with left axis deviation (figure 1A) that terminated with amiodarone infusion. He gave a history of episodic palpitations associated with giddiness. Transthoracic and transoesophageal echocardiography showed a wide necked submitral aneurysm measuring 5×5 cm with severe mitral regurgitation (figure 1B,C).

Figure 1

ECG at presentation and transoesophageal echocardiography (TEE). ECG at presentation showing ventricular tachycardia …

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