Sudden death in Staphylococcus aureus-associated infective endocarditis due to perforation of a free-wall myocardial abscess.
Free-wall myocardial abscess perforation with hemopericardium and sudden death is an extremely infrequent complication of infective endocarditis (IE). We describe a case of Staphylococcus aureus-associated native aortic and tricuspid valve endocarditis complicated by a septic myocardial infarction and abscess formation of embolic origin, with fatal rupture into the pericardium. To our knowledge, only 2 cases of myocardial abscess rupture have previously been reported in relation to IE.
Anguera
I
I
Cardiovascular Institute, Institut d'Investigacions Biomèdiques August Pi i Sunyer-Hospital Clinic, University of Barcelona, Spain.
Quaglio
G
G
Ferrer
B
B
Nicolás
J M
JM
Paré
C
C
Marco
F
F
Miró
J M
JM
D000038:Abscess / Q000150:complications / Q000382:microbiology*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000302:isolation & purification