Myocardial abscess with contained rupture: successful repair.
Spontaneous rupture of the heart from myocardial abscess is a rare occurrence. Most cases of spontaneous cardiac rupture are due to myocardial infarction. We present a case of a contained rupture of the heart in a patient with staphylococcal septicemia. Although cultures from the pericardial space were negative the macroscopic and clinical picture was compatible with an abscess.
Harris
D G
DG
Department of Cardiothoracic Surgery, Tygerberg Hospital, Cape Town, South Africa. dghrrs@aol.com
Rossouw
G J
GJ
D000038:Abscess / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D016470:Bacteremia / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D009202:Cardiomyopathies / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage / Q000379:methods; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome