Staphylococcal postoperative subannular left ventricular false aneurysm.
A 37-year-old male with acute complicated methicillin-sensitive Staphylococcus aureus mitral valve endocarditis underwent urgent valve replacement with a bileaflet prosthesis. The postoperative course was complicated with fever and heart failure. Echocardiography showed a large subannular false aneurysm of the left ventricle. Three weeks later resection and closure of the defect with a patch made from a cryopreserved thoracic aorta homograft were performed. The most significant aspects of this rare complication are commented on.
Ortu
Paolo
P
Department of Cardiovascular Surgery, The Institute of Cardiovascular Diseases (ICMCV), Idibaps-Hospital Clinico, University of Barcelona, Barcelona, Spain.
Mestres
Carlos A
CA
Miró
José M
JM
Pomar
José L
JL
D000208:Acute Disease; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D001013:Aorta, Thoracic / Q000601:surgery; D015925:Cryopreservation; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000601:surgery*; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D014184:Transplantation, Homologous