Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture

Background  Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis. Case Description  We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patien...

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Autores principales: Fleißner, Felix, Tudorache, Igor, Christgen, Matthias, Cebotari, Serghei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605974/
https://www.ncbi.nlm.nih.gov/pubmed/33154880
http://dx.doi.org/10.1055/s-0040-1716391
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author Fleißner, Felix
Tudorache, Igor
Christgen, Matthias
Cebotari, Serghei
author_facet Fleißner, Felix
Tudorache, Igor
Christgen, Matthias
Cebotari, Serghei
author_sort Fleißner, Felix
collection PubMed
description Background  Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis. Case Description  We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patient developed a sudden free left ventricular wall rupture. Immediate reoperation was successful. Histopathology revealed a myocardial infarction due to septic thromboembolism causing a phlegmonlike myocardial appearance. Conclusion  This is a rare case of a myocardial phlegmon with subsequent cardiac lateral wall rupture in the context of an infectious endocarditis with septic coronary embolism.
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spelling pubmed-76059742020-11-04 Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture Fleißner, Felix Tudorache, Igor Christgen, Matthias Cebotari, Serghei Thorac Cardiovasc Surg Rep Background  Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis. Case Description  We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patient developed a sudden free left ventricular wall rupture. Immediate reoperation was successful. Histopathology revealed a myocardial infarction due to septic thromboembolism causing a phlegmonlike myocardial appearance. Conclusion  This is a rare case of a myocardial phlegmon with subsequent cardiac lateral wall rupture in the context of an infectious endocarditis with septic coronary embolism. Georg Thieme Verlag KG 2020-01 2020-11-02 /pmc/articles/PMC7605974/ /pubmed/33154880 http://dx.doi.org/10.1055/s-0040-1716391 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Fleißner, Felix
Tudorache, Igor
Christgen, Matthias
Cebotari, Serghei
Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title_full Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title_fullStr Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title_full_unstemmed Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title_short Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture
title_sort cardiac phlegmon: infectious endocarditis causing ventricular wall rupture
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605974/
https://www.ncbi.nlm.nih.gov/pubmed/33154880
http://dx.doi.org/10.1055/s-0040-1716391
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