Document Detail


Giant left ventricular pseudoaneurysm.
MedLine Citation:
PMID:  20579622     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left ventricular (LV) pseudoaneurysm (PS) is an uncommon, often fatal complication associated with myocardial infarction, cardiothoracic surgery, trauma, and, rarely, infective endocarditis. A 28-year-old man with prior history of bioprosthetic mitral valve replacement presented with congestive heart failure and bacteremia with Abiotrophia granulitica. Transesophageal echocardiogram showed bioprosthesis dysfunction, large vegetations, mitral regurgitation, and probable PS. Cardiac and chest CT confirmed a PS communicating with the left ventricle Patient had pulseless electrical activity and died. Autopsy showed a giant PS with layered thrombus and pseudo-endothelialized cavity. Our case highlights the importance of multimodality imaging as an important tool in management of PS.
Authors:
Sumi Prakash; Nadish Garg; Gong-Yuan Xie; Kevin C Dellsperger
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-31
Journal Detail:
Title:  Journal of cardiovascular computed tomography     Volume:  4     ISSN:  1876-861X     ISO Abbreviation:  J Cardiovasc Comput Tomogr     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101308347     Medline TA:  J Cardiovasc Comput Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  284-5     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Internal Medicine, University Hospital and Clinics, Columbia, MO 65212, USA. prakashsu@health.missouri.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aerococcaceae / isolation & purification
Aneurysm, False / diagnosis*,  etiology
Autopsy
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Endocarditis / etiology,  microbiology
Fatal Outcome
Heart Diseases / diagnosis*,  etiology
Heart Valve Prosthesis Implantation / adverse effects
Heart Ventricles / radiography,  ultrasonography
Humans
Male
Substance Abuse, Intravenous / complications
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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