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Published on: November 4, 2015
Left Ventricular Pseudoaneurysm Caused by Infective Endocarditis
Tung-Chen Yeh1, Chun-Peng Liu2, Ching-Jiunn Tseng3
1Department of Internal Medicine, Division of Cardiology, Kaohsiung Veterans General Hospital; ; Department of Biological Sciences, National Sun Yat-sen University; ; Institute of Clinical Medicine, National Yang-Ming University;
Unlabelled:
A 32-year-old male presented with infective endocarditis and left ventricular pseudoaneurysm (PA). The patient was treated with oxacillin but remained intermittently febrile for the next 3 weeks. Blood culture revealed Staphylococcus aureus. Treatment with oxacillin 2 g every 4 hours gradually reduced the fever. Echocardiography then showed an aneurysm-like structure communicating with the left ventricle. However, the patient refused further examinations and insisted on discharge. After 4 days, he was readmitted to our ward with severe dyspnea. Chest computed tomography showed the heart was behind a huge PA. The selected treatments for this rare case of multiple medical conditions were surgical resection of the PA and mitral valve replacement surgery, which achieved a gradual recovery. In this case, early diagnosis and timely surgical intervention resulted in an excellent prognosis.
Key Words:
Infective endocarditis; Pseudoaneurysm; Staphylococcus aureus.
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