Left ventricular pseudoaneurysm as a fatal complication of purulent pericarditis

Abstract We report a case of a 48-year-old man with purulent pericarditis by Streptococcus viridans, despite aggressive treatment with antibiotics and partial pericardiectomy was complicated by left ventricle pseudo-aneurysm resulting in a fatal outcome. The case highlights the course of complicated...

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Bibliographic Details
Published inHeart & lung Vol. 44; no. 5; pp. 448 - 450
Main Authors Sunkara, Bharath, MD, Briasoulis, Alexandros, MD, Afonso, Luis, MD, FACC, Ramappa, Preeti, MD, FACC
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2015
Elsevier Science Ltd
Subjects
Aneurysm, False - complications
Aneurysms
Anti-Bacterial Agents - therapeutic use
Antibiotics
Bacteria
Cardiovascular
Critical Care
Fatal Outcome
Heart Diseases - complications
Heart Ventricles
Humans
Inflammation
Left ventricle
Male
Medical imaging
Medical treatment
Middle Aged
Pericardial disease
Pericardiectomy
Pericarditis - complications
Pericarditis - microbiology
Pericarditis - therapy
Pseudoaneurysm
Pulmonary/Respiratory
Purulent pericarditis
Streptococcal Infections - complications
Streptococcus viridans
Viridans Streptococci
Streptococcus viridans
Purulent pericarditis
Pericardial disease
Left ventricle
Pseudoaneurysm
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Summary:Abstract We report a case of a 48-year-old man with purulent pericarditis by Streptococcus viridans, despite aggressive treatment with antibiotics and partial pericardiectomy was complicated by left ventricle pseudo-aneurysm resulting in a fatal outcome. The case highlights the course of complicated purulent pericarditis and the use of noninvasive imaging for assessing early signs of pseudoaneurysm and its typical progression.
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ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2015.06.002