Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta

Journal of Cardiothoracic Surgery

David Meier¹  Salah Dine Qanadli²  Catalina Trana³  Olivier Muller⁴  Matthias Kirsch⁵  Daniel Fishman⁶ 

[1] Department of Internal Medicine, University Hospital of Lausanne;Department of Radiology, University Hospital of Lausanne;Service of Cardiology, Riviera-Chablais Hospital;Service of Cardiology, University Hospital of Lausanne;Service of Cardiovascular Surgery, University Hospital of Lausanne;Service of Emergency Medicine, Riviera-Chablais Hospital;

关键词: Purulent pericarditis;    Infected aneurysm;    Ascending aorta;   

DOI  :  10.1186/s13019-018-0699-4

来源: DOAJ

【 摘 要 】

Abstract Background Purulent pericarditis is an uncommon entity, which is, in very rare cases, associated to infection of the aorta. Case presentation We present the case of a 42-year-old male patient, who was admitted to hospital complaining of tiredness, diarrhea and leg edema. Clinical examination revealed a hypotensive and obviously shocked patient. He was ultimately diagnosed with a rare combination of purulent pericarditis followed by false aneurysm of the ascending aorta. He was successfully treated by surgical pericardial drainage, replacement of the ascending aorta and antibiotics. Conclusion Mycotic aneurysms can rarely be associated with purulent pericarditis. Our literature review shows that there are two mechanisms explaining this association and that in most of the published cases infective endocarditis could not be demonstrated.

【 授权许可】

Unknown