Pseudoaneurysm of the left ventricular free wall occurring after cardiac surgery of endocarditis affecting mitral and aortic valves: a case report

Background Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively. Case presentation We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one mont...

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Bibliographic Details
Published in:The Egyptian heart journal 2023-01, Vol.75 (1), p.6-6, Article 6
Main Authors: El Hadj Sidi, Chighaly, Isselmou, Varha, Mohamed Ahmed, Mohamed Feissal, Diop, El Hadj Abdelaziz, Argueina, Taleb Ekhyar, Mady, Haimouda, Boye, Khaled
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Anticoagulants
Cardiac arrhythmia
Cardiology
Case Report
Case reports
Diagnosis
Embolisms
Endocarditis
Fever
Heart attacks
Heart surgery
Heart valve diseases
Iatrogenesis
Infections
Infective endocarditis
Left ventricle
Medical imaging
Medicine
Medicine & Public Health
Pseudoaneurysm
Staphylococcus hominis
Stroke
Tomography
Ultrasonic imaging
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Summary:Background Infective endocarditis remains a serious condition. Left ventricular pseudoaneurysm may complicate the clinical course of infective endocarditis or occur postoperatively. Case presentation We describe a case of a pseudoaneurysm of the left ventricular lateral wall which developed one month following cardiac surgery of active endocarditis affecting aortic and mitral valves. The diagnosis was established by transthoracic echocardiography and computed tomography angiography of the chest. Urgent cardiac surgery is performed with excision of the pseudoaneurysm and direct closure of the defect. The patient had a complete recovery and was discharged on the twelfth postoperative day. Conclusions Left ventricular pseudoaneurysms are rare but potentially fatal. The symptoms revealing such complications are very diverse. Surgical treatment can be offered to younger patients.
ISSN:2090-911X
1110-2608
2090-911X
DOI:10.1186/s43044-023-00334-9