title: Left ventricular pseudoaneurysm as a fatal complication of purulent pericarditis.
abstract: We report a case of a 48-year-old man with purulent pericarditis by Streptococcus viridans, despite aggressive treatment with antibiotics and partial pericardiectomy was complicated by left ventricle pseudo-aneurysm resulting in a fatal outcome. The case highlights the course of complicated purulent pericarditis and the use of noninvasive imaging for assessing early signs of pseudoaneurysm and its typical progression.
authors.affiliation: Division of Cardiology, Veterans Affairs Medical Center, Wayne State University, Detroit, MI 48201, USA.
authors.forename: Bharath
authors.initials: B
authors.lastname: Sunkara
authors.affiliation: Division of Cardiology, Veterans Affairs Medical Center, Wayne State University, Detroit, MI 48201, USA.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Briasoulis
authors.affiliation: Division of Cardiology, Veterans Affairs Medical Center, Wayne State University, Detroit, MI 48201, USA.
authors.forename: Luis
authors.initials: L
authors.lastname: Afonso
authors.affiliation: Division of Cardiology, Veterans Affairs Medical Center, Wayne State University, Detroit, MI 48201, USA. Electronic address: Preeti.Ramappa@va.gov.
authors.forename: Preeti
authors.initials: P
authors.lastname: Ramappa
mesh_terms: D017541:Aneurysm, False / Q000150:complications*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D006331:Heart Diseases / Q000150:complications*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010493:Pericarditis / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications*; D034363:Viridans Streptococci
chemical_list: D000900:Anti-Bacterial Agents
keywords: Left ventricle; Pericardial disease; Pseudoaneurysm; Purulent pericarditis; Streptococcus viridans