We present a case of exertional dysponea Class III and congestive heart failure (CHF). 2DEcho showed a rare presentation anterior submitral LV aneurysm. He improved symptomatically with diuretics, ACEI( angiotensin Converting enzyme inhibitor) and beta blockers. Aim of presenting this case is because a rare presentation and which can lead to CHF.

Keywords : Submitral aneurysm CHF rare presentation 2DECHO dysponea