title: Infection of a ventricular aneurysm and cardiac mural thrombus. Survival after surgical resection.
abstract: Infections of cardiac mural thrombi are rare, and because antemortem diagnosis is difficult and antibiotic therapy alone ineffective, the associated mortality has been significant. A patient with gram-negative bacillary infection of a mural thrombus is described. Gallium 67 citrate isotope scanning and two-dimensional echocardiography were helpful adjuncts in establishing the diagnosis. Surgical resection of the infected myocardial tissue and prolonged antimicrobial therapy were necessary for cure.
mesh_terms: D000368:Aged; D009202:Cardiomyopathies / Q000150:complications* / Q000601:surgery; D004452:Echocardiography / Q000379:methods; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000601:surgery; D005710:Gallium Radioisotopes; D006322:Heart Aneurysm / Q000150:complications* / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D011512:Proteus Infections / Q000209:etiology* / Q000601:surgery; D011513:Proteus mirabilis; D013927:Thrombosis / Q000150:complications* / Q000601:surgery
chemical_list: D005710:Gallium Radioisotopes