Pseudoaneurysm of the left ventricle after isolated pericarditis and Staphylococcus aureus septicemia

Boer, Hink; Elzenga, Nynke J.; Boer, W.J. de; Meuzelaar, J. J.

doi:10.1016/s1010-7940(98)00256-5

Cited by 12 publications

(11 citation statements)

References 2 publications

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“…Early changes due to constrictive pericarditis on echocardiogram, though reversible in some patients, do require the continuation of antibiotics and NSAIDS [2]. Staphylococcus pericarditis has also been associated with other complications like ventricular pseudoaneurysm, mycotic aortic aneurysm, and rupture of the left ventricle [9,10].…”

Section: Discussionmentioning

confidence: 99%

Bacterial pericarditis caused by infected trichilemmal cyst

Lodha

Enakpene

Haran

et al. 2012

Journal of Infection and Chemotherapy

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Section: Discussionmentioning

confidence: 99%

Bacterial pericarditis caused by infected trichilemmal cyst

Lodha

Enakpene

Haran

et al. 2012

Journal of Infection and Chemotherapy

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“…Spread of infection to the surrounding myocardium and rupture of an abscess remote from the affected valve have been reported 78 Myocardial abscesses have been associated with purulent pericarditis which can lead to rupture 45 …”

Section: Discussionmentioning

confidence: 99%

Cardiac rupture caused by Staphylococcus aureus septicaemia and pericarditis: an incidental finding

Osula¹,

Lowe²,

Perry³

2001

Heart

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A 35 year old woman with a long history of intravenous drug abuse presented to a local hospital with severe anaemia, fever, raised markers of inflammation, and positive blood cultures for Staphylococcus aureus. She responded to treatment with antibiotics with improvement in her symptoms and markers of inflammation. Four weeks later a "routine" echocardiogram showed a rupture of her left ventricular apex and a large pseudoaneurysm. There had been no deterioration in her symptoms or haemodynamic status to herald this new development. It was successfully repaired surgically and the patient made a good recovery. (Heart 2001;85:e4) Keywords: ventricular rupture; pseudoaneurysm; staphylococcal septicaemia Cardiac rupture and pseudoaneurysm of the left ventricular free wall is a well recognised complication of myocardial infarction, cardiac trauma or cardiac surgery.1 2 There are a few reported associations with endocarditis, septicaemia or tumour infiltration.3-6 These reported cases are all associated with a sudden or progressive haemodynamic deterioration. We report a case of cardiac rupture and pseudoaneurysm of the left ventricular free wall found on "routine" echocardiography in a patient with Staphylococcus aureus septicaemia. Case reportA 35 year old female intravenous drug abuser was referred to a local hospital with a three week history of malaise, lethargy, and weight loss. She had lost 10 kg in three weeks and complained of left sided pleuritic chest pains.She had a long history of intravenous drug misuse and had been on a methadone withdrawal programme for two months, although she admitted to the concomitant use of heroine. In 1992 and 1997 she was admitted to the same hospital with a left proximal deep vein thrombosis and right groin abscess respectively caused by injecting heroin into her femoral vein. A systolic murmur had been heard and an echocardiogram booked, but she had defaulted.On examination she looked ill and had a low grade pyrexia. She had a tachycardia of 100 beats/min but was normotensive. There were no cutaneous stigmata of endocarditis and the only positive finding was a systolic murmur suggestive of mitral regurgitation.Investigations revealed a microcytic anaemia with a haemoglobin of 3.5 mmol/l (5.7 g/d1) and a white cell count of 10.7 × 10 9 /l. Inflammatory markers were raised (C reactive protein 130 mg/l and erythrocyte sedimentation rate 54 mm/hour), and two sets of blood cultures grew S aureus. Her chest x ray was normal. The ECG showed non-specific T wave inversion aVecting the inferiolateral leads. Her echocardiogram revealed normal left ventricular systolic function and a left ventricular band near the apex. There was mild mitral and tricuspid regurgitation but no vegetations were seen. The aortic valve was normal. A small pericardial eVusion was noted. A diagnosis of bacterial endocarditis was made and she was treated with appropriate antibiotics (flucloxacillin and gentamicin) and given a transfusion of 4 units of blood. Her temperature settled and markers of infla...

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“…They may result from infection, trauma, cardiac surgery, or ischemia. [1][2][3][4][5][6][7][8] Due to unfavorable natural history, surgical intervention is mandatory in such patients. When diagnosed and treated appropriately, the outcome is excellent.…”

Section: Introductionmentioning

confidence: 99%

Unusual Left Ventricular Pseudoaneurysm in a Child After Disseminated Bacterial Infection

Nair

Malankar

Kothari

et al. 2014

World J Pediatr Congenit Heart Surg

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Pseudoaneurysm of the left ventricle after isolated pericarditis and Staphylococcus aureus septicemia

Abstract: Left ventricular pseudoaneurysm after isolated pericarditis as a result of Staphylococcal septicemia is very rare. A case of a very young patient is described. Diagnosis is made by echocardiography. Immediate surgical resection of the pseudoaneurysm is the therapy of choice.

Cited by 12 publications

References 2 publications

Bacterial pericarditis caused by infected trichilemmal cyst

Bacterial pericarditis caused by infected trichilemmal cyst

Cardiac rupture caused by Staphylococcus aureus septicaemia and pericarditis: an incidental finding

Unusual Left Ventricular Pseudoaneurysm in a Child After Disseminated Bacterial Infection

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