{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:52:24Z","timestamp":1772171544478,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Submitral aneurysm is a rare cardiac entity with outpouching in relation to the posterior annulus of the mitral valve. Multiple etiology have been described with the role of infection and inflammation with varied clinical presentation in different case reports. However, the literature on clinical outcome and follow\u2010up is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Method<\/jats:title>\n                    <jats:p>This retrospective, observational study included all the adult patients (&gt;18 years) who were diagnosed with a submitral aneurysm. Epidemiological, demographic, laboratory, clinical management, and outcome data were extracted and followed for the endpoints of cardiac death, noncardiac death, recurrent hospitalization (due to heart failure, rupture, arrhythmic events, embolic events), surgical repair, and echocardiography parameters for mitral regurgitation or change in the size of the left ventricle for 1\u2010year postdischarge from the index hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 10 patients were enrolled in the study with a mean age of 31.2\u2009\u00b1\u200911.1 years. Possible etiology could be established in only five (50%) patients (two patients had tuberculosis and three patients had acute coronary syndrome). At index hospitalization, nine (90%) patients had heart failure, two (20%) patients had rupture of a submitral aneurysm, four patients underwent surgery, and one patient expired. On follow\u2010up of 1 year, one more patient underwent surgical repair while three patients expired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A submitral aneurysm is a rare cardiac entity with poor outcomes. Surgical repair with or without mitral valve replacement plays a definitive role in management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16663","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T14:04:56Z","timestamp":1654610696000},"page":"2673-2681","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcome of submitral aneurysm"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8731-1482","authenticated-orcid":false,"given":"Puneet","family":"Aggarwal","sequence":"first","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhinav","family":"Shrivastava","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dheerendra","family":"Kuber","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8258-0445","authenticated-orcid":false,"given":"Ranjit Kumar","family":"Nath","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santosh Kumar","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Cardiology LPS Institute of Cardiology Kanpur Uttar Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarun","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3835-4835","authenticated-orcid":false,"given":"Bhagya Narayan","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of Cardiology ABVIMS and DR RML Hospital New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.115270"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.22.2.181"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0066-782X2001000500006"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytab066"},{"issue":"5","key":"e_1_2_8_6_1","first-page":"410","article-title":"A case of submitral left ventricular pseudoaneurysm following mitral valve replacement for infective endocarditis","volume":"51","author":"Shirota K","year":"1998","journal-title":"Kyobu Geka"},{"issue":"9","key":"e_1_2_8_7_1","first-page":"831","article-title":"Idiopathic annular submitral aneurysm associated with Takayasu's aortitis. 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