Document Detail

Precordial abscess inducing chest pain 20 years after surgical repair of a pentalogy of fallot.
MedLine Citation:
PMID:  15298694     Owner:  NLM     Status:  MEDLINE    
A 25-year-old male asylum-seeker presented with chest pain, exertional dyspnea, and orthopnea 20 years after the surgical repair of a pentalogy of Fallot. An extracardiac mass compressing the right ventricle was subsequently detected and surgical decompression was performed to relieve the resulting right intraventricular hypertension. At operation, the mass proved to be a coagulase-negative, staphylococcal abscess. In addition, the removal of the mass unmasked a previously nonrecognized pulmonary outflow stenosis that required balloon dilatation and beta-blocker therapy. While infections are known to occur after sternotomy, the formation of an abscess in the anterior mediastinum several years after the intervention appears to be exceptional; this diagnosis came to mind only after the more common complications had been considered, e.g., pseudoaneurysm or pericardial hematoma. To our knowledge, this is the first report of an abscess in the anterior mediastinum that had probably formed over many years following a sternotomy, compressed the right ventricle and masked a pulmonary stenosis.
Evelyne Aschwanden; Patrick Bodenmann; Léo Schlueter; Malika Fivat-Arbane; Michel Hurni; Salah Dine Qanadli; Andres Jaussi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  21     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-09     Completed Date:  2005-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  555-8     Citation Subset:  IM    
Medical Outpatient Clinic, University of Lausanne, Switzerland.
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MeSH Terms
Abscess / complications*,  therapy
Balloon Dilatation
Chest Pain / etiology*,  therapy
Echocardiography, Doppler, Color
Heart Catheterization
Magnetic Resonance Imaging
Postoperative Complications / etiology*,  therapy
Staphylococcal Infections*
Tetralogy of Fallot / surgery*
Tricuspid Valve Insufficiency / etiology,  therapy
Ventricular Dysfunction, Right / etiology,  therapy
Ventricular Outflow Obstruction / etiology,  therapy

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

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