Ventriculotomy and resection for left ventricular thrombus infection with Salmonella.
We report the case of a patient with a left ventricular thrombus infected by Salmonella. The diagnosis was suspected from a gallium scan demonstrating an intense activity in the lower left parasternal area. A transesophageal echocardiogram confirmed a calcified left ventricular aneurysm with a mural thrombus containing pus and heterogeneous material. The patient underwent a successful left ventricular aneurysmectomy, thrombectomy and endocardial resection under cardiopulmonary bypass which brought the infection under control.
Mathieu
P
P
Department of Surgery, Montreal Heart Institute, 5000 Belanger Street East, QC H1T 1C8, Montreal, Canada.
Marchand
R
R
Tardif
J
J
Perrault
L P
LP
D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006331:Heart Diseases / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015635:Radionuclide Ventriculography; D012475:Salmonella / Q000302:isolation & purification*; D012480:Salmonella Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*