Leaking sub-mitral left ventricular aneurysm (SLVA)

Sub-mitral left ventricular aneurysm (SLVA) is a rare condition reported in different country(1). A number of etiologies have been proposed for the development of this condition but current consensus is that aneurysms are most likely due to a congenital weakness of the fibrous annulus of the valve (2). It can present with various clinical pictures in the 2nd or 3rd decade of life (3). Our case highlights the importance of considering SLVA in the differential diagnosis of acute heart failure with holosystolic murmur and pulmonary edema in young patients.