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The Annals of Thoracic Surgery, Vol 27, 350-355, Copyright © 1979 by The Society of Thoracic Surgeons
A Wolpowitz, B Arman, MS Barnard and CN Barnard
The case of a Black African patient with an annular subvalvular left
ventricular aneurysm of unknown origin is described, and the pathological
findings in this condition together with a review of the literature is
presented. We have operated on 12 patients with this condition between 1958
and 1978. Ventricular aneurysm in the Black African is extremely rare;
aneurysms resulting from ischemic heart disease have not been encountered
in this racial group, and contrary to earlier reports in the literature,
syphilis is not the most common cause of left ventricular aneurysms in this
group. The aneurysms arise in the fibrous rings below either the aortic or
the mitral valve, extend around the valves in this situation, and may occur
either singly or in both positions in the same heart. After various
etiological factors are excluded, it is probable that in this group of
patients the aneurysms develop initially as pulsion diverticula through a
congenital weakness in the ventricular wall in the region of the
atrioventricular groove.
ARTICLES
Annular subvalvular idiopathic left ventricular aneurysms in the black African
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