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

BMC Cardiovascular Disorders

Kevin H. van ’t Kruys¹  Pieter G. Voigt²  Amadu E. Juliana³  Nico A. Blom³ 

[1] Academic Pediatric Center Suriname, Academic Hospital Paramaribo;Department of Cardio-thoracic Surgery, Academic Hospital Paramaribo;Department of Pediatric Cardiology, Leiden University Medical Center;

关键词: Purulent pericarditis;    Pseudo-aneurysm;    Left ventricle;    Children;    Suriname;   

DOI  :  10.1186/s12872-019-01299-x

来源: DOAJ

【 摘 要 】

Abstract 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 pseudo-aneurysm 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.

【 授权许可】

Unknown