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Ventriculotomy and resection for left ventricular thrombus infection with Salmonella
P Mathieu1, R Marchand, J Tardif
1Department of Surgery, Montreal Heart Institute, 5000 Belanger Street East, QC H1T 1C8, Montreal, Canada.
Insights
A rare case of Salmonella infection in a left ventricular aneurysm with thrombus was successfully treated. Surgical removal of the infected aneurysm and thrombus controlled the infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Surgical Innovation
Background:
- Left ventricular aneurysms can harbor infectious processes.
- Salmonella infections, though rare, can manifest in cardiac structures.
Observation:
- A patient presented with clinical suspicion of an infected left ventricular thrombus.
- Gallium scan revealed intense activity in the left parasternal area.
- Transesophageal echocardiogram confirmed a calcified left ventricular aneurysm with an infected mural thrombus.
Findings:
- The infected thrombus contained pus and heterogeneous material.
- Surgical intervention included left ventricular aneurysmectomy, thrombectomy, and endocardial resection.
- The patient underwent successful cardiopulmonary bypass surgery.
Implications:
- This case highlights the importance of considering Salmonella in cardiac infections.
- Successful surgical management can effectively control severe cardiac infections.
- Early diagnosis and intervention are crucial for favorable outcomes in infected ventricular aneurysms.
Abstract:
We report the case of a patient with a left ventricular thrombus infected by Salmonella. The diagnosis was suspected from a gallium scan demonstrating an intense activity in the lower left parasternal area. A transesophageal echocardiogram confirmed a calcified left ventricular aneurysm with a mural thrombus containing pus and heterogeneous material. The patient underwent a successful left ventricular aneurysmectomy, thrombectomy and endocardial resection under cardiopulmonary bypass which brought the infection under control.