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Asymptomatic myocardial abscess.

A Borowski1, H Korb, E Voth

  • 1Clinic for Thoracic and Cardiovascular Surgery, University of Göttingen, FRG.

The Thoracic and Cardiovascular Surgeon
|December 1, 1988
PubMed
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A rare myocardial abscess, initially mistaken for a cardiac tumor, was successfully treated surgically. This case highlights the importance of considering abscesses in cardiac tumor differential diagnoses.

Area of Science:

  • Cardiology
  • Pathology

Background:

  • Myocardial abscesses are rare cardiac emergencies.
  • They are often associated with infective endocarditis.

Purpose of the Study:

  • To report a rare case of an asymptomatic myocardial abscess.
  • To emphasize the importance of considering myocardial abscess in cardiac tumor differential diagnoses.

Main Methods:

  • Case report of a 69-year-old patient.
  • Invasive cardiac diagnostics following an embolic event.
  • Open-heart surgery for suspected intracardiac tumor.
  • Histopathological examination of cardiac tissue.

Main Results:

  • An asymptomatic myocardial abscess was discovered.

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  • The abscess was located in the posterior wall of the left atrium.
  • The abscess was treated with surgical drainage and closure.

    • Conclusions:

    • Myocardial abscess should be considered in the differential diagnosis of suspected cardiac tumors.
    • Diagnosis of myocardial abscess does not always necessitate surgical intervention.