Left ventricular pseudoaneurysm with infective pericarditis: a rare cause of intractable hemoptysis.
A 52-year-old man with diabetes presented with recurrent, massive hemoptysis following pericardiectomy for pyopericardium secondary to Streptococcus viridans infection. Chest radiograph and bronchoscopic examinations revealed no bronchial cause. Computed tomography of the chest and echocardiography showed a pseudoaneurysm of the left ventricle. Surgical exploration confirmed that the pseudoaneurysm communicated with the left lung parenchyma and was the cause of recurrent intractable hemoptysis.
Vijayvergiya
Rajesh
R
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. rajeshvijay999@ hotmail.com
Chongtham
Dhanaraj Singh
DS
Thingnam
Shyam Kumar
SK
Grover
Anil
A
Lal
Anupam
A
D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001999:Bronchoscopy; D017023:Coronary Angiography / Q000379:methods; D004452:Echocardiography; D017809:Fatal Outcome; D005402:Fistula / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006322:Heart Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006331:Heart Diseases / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology; D006469:Hemoptysis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010493:Pericarditis / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D016156:Respiratory Tract Fistula / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D034363:Viridans Streptococci / Q000302:isolation & purification
D000900:Anti-Bacterial Agents