Science and Education Publishing American Journal of Medical Case Reports 2 6 2014 06 16 Submitral Aneurysm: A Rare Congenital Anomaly 114 116 EN Manish Ruhela Department of Cardiology, SMS Medical College and Hospital, Jaipur, Rajasthan, India Dinanath kumar Chandra Bhan Meena Rajeev Bagarhatta AJMCR2014261 10.12691/ajmcr-2-6-1 2014 05 22 2014 06 11 2014 06 16 Submitral aneurysm is a congenital out pouching of the left ventricular wall invariably occurring adjacent to the posterior mitral leaflet. This rare congenital cardiac anomaly was initially described among the African population and is considered rare in the other parts of world. The clinical picture is dominated by congestive cardiac failure in the presence of mitral regurgitation. Echocardiography provides precise non-invasive diagnosis. The literature is reviewed to increase the awareness of clinicians, especially novice echocardiographers about this rare cardiac anomaly when coming across congestive cardiac failure with mitral regurgitation in young population.