Left Ventricular Pseudoaneurysms in Children—A Case Series

Prasad, Sreevathsa; Ram, Duvuru; Munuswamy, Hemachandren; Satyavathi, Davulury Sri; Chandran, B. V. Sai

doi:10.1177/2150135117743212

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Echocardiographic examination after more than 6 years revealed moderate echogenicity adjacent to the lateral wall of the left ventricle without discontinuity of the left ventricular wall [8]. From the third case, a 3-year-old female child, there was no further information available because of lost to follow-up [21]. In theory the risk of spontaneous rupture is higher in pseudo-aneurysms compared to true aneurysms because of the lack of a muscle layer.…”

Section: Discussionmentioning

confidence: 93%

Infectious pseudo-aneurysm of the left ventricle: a case report and a review of the literature

Juliana

Kruys

Voigt

et al. 2020

BMC Cardiovasc Disord

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Background: In the workup of a pediatric patient with pericarditis we found evidence of a pseudo-aneurysm of the left ventricle, which is a rare complication of purulent pericarditis. Case presentation: We present a case of a six-year-old girl who was diagnosed with pericarditis and a fistula between the pericardial and the intra-luminal space of the left ventricle of the heart. She was successfully treated with antibiotics and cardio-thoracic surgery. We found 23 published cases (21 with follow-up) of infectious pseudoaneurysm of the heart, of which 19 underwent surgery, 5 had fatal outcome, and 2 who refused surgery survived. The majority of cases were associated with Staphylococcus aureus. The exact mechanisms of this rare complication remain unknown. Conclusions: A pseudo-aneurysm of the left ventricle is a rare and not well understood complication of a purulent pericarditis most commonly caused by Staphylococcus aureus infection. Because of risk of rupture, surgical intervention is advised.

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Section: Discussionmentioning

confidence: 93%