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Published on: June 12, 2021
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Cardiac Abscess with Ventricular Aneurysm Secondary to Old Myocardial Infarction
N Nand1, S K Singla2, S Magu3
1Senior Professor and Unit Head.
The Journal of the Association of Physicians of India
|June 10, 2017
Summary
Myocardial abscess, a rare condition, can develop from left ventricular aneurysms after heart attack. This case highlights a unique presentation of myocardial abscess in a patient with a left ventricular aneurysm.
Area of Science:
- Cardiology
- Infectious Diseases
- Pathology
Background:
- Myocardial abscess (MA) is a rare, life-threatening cardiac condition.
- MA typically arises secondary to infective endocarditis or sepsis of unknown origin.
- Development of MA secondary to left ventricular aneurysm (LVA) from myocardial infarction is exceptionally rare.
Observation:
- A 56-year-old male presented with severe fever and elevated white blood cell count (leukocytosis).
- Diagnostic evaluations revealed a myocardial abscess.
- The abscess was associated with an underlying left ventricular aneurysm.
Findings:
- The patient's clinical presentation and diagnostic findings confirmed a myocardial abscess.
- The presence of an underlying left ventricular aneurysm was identified as a contributing factor.
- This case represents a rare etiology for myocardial abscess formation.
Implications:
- This case expands the known spectrum of complications following myocardial infarction.
- Understanding rare associations like LVA leading to MA is crucial for accurate diagnosis and management.
- Highlights the importance of comprehensive cardiac evaluation in patients with unexplained sepsis and fever.
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