[A successful repair of infective endocarditis accompanied by a pseudoaneurysm of the left ventricle].

Abstract

The present paper reports a successful surgical treatment of a 47-year-old male with a pseudoaneurysm of the left ventricle. The patient has also been administered Penicillin G for 5 months to treat endocarditis. Cardiac catheterization showed severe aortic stenosis and a pseudoaneurysm of the left ventricle which was dilating in systole. The patient underwent patch closure of the pseudoaneurysm whose ostium was situated at the miral-aortic inter valvular fibrosa followed by aortic valve replacement and direct closure of a right Valsalva sinus aneurysm. His postoperative course was uneventful. The patient had no recurrence of endocarditis nor malfunction of the prosthetic valve for one year postsurgery. This is the first report in Japan of successful surgical treatment of a pseudoaneurysm of the left ventricle due to perforation of the miral-aortic intervalvular fibrosa after endocarditis.

• Authors: A Takazawa, K Akiyama, J Hirota, T Nagumo, S Sasaki
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 46 Issue 9 Pg. 939-42 (Sep 1998) ISSN: 1344-4964 [Print] Japan
• PMID: 9796302 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Penicillin G

Topics

• Aneurysm, False (etiology, surgery)
• Aortic Valve Stenosis (complications)
• Endocarditis, Bacterial (drug therapy, surgery)
• Heart Aneurysm (complications, surgery)
• Heart Ventricles
• Humans
• Male
• Middle Aged
• Penicillin G (therapeutic use)