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Eber, B; Neumann, H; Dusleag, J; Rigler, B; Klein, W.
Perforated ventricular aneurysm in a male suffering from pneumonia.
Clin Cardiol. 1991; 14(10):853-856 Doi: 10.1002/clc.4960141013 (- Case Report)
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Co-authors Med Uni Graz
Rigler Bruno
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Abstract:
In a 49-year-old male with fever, dyspnea, and chest pain, thoracic x-ray revealed pneumonia with enlarged heart silhouette. Antibiotics were successful, pneumonia healed and complaints disappeared. Yet, during the following 3 months, echocardiography showed mild persistent pericardial effusion while in ECG both sinus tachycardia and ST-T changes were found suggesting chronic pericarditis. Magnetic resonance imaging, however, revealed an extensive posterobasal aneurysm with pericardial effusion substantiated by ventriculography. Coronary angiography showed diffuse three-vessel disease. Surgery revealed aneurysm with distinct perforation of the left ventricle and pericardial thrombi, thus aneurysmectomy as well as bypass grafts were performed. One year postoperatively, magnetic resonance imaging confirmed the absence of aneurysm with only a small irreversible posterobasal perfusion defect remaining as shown by thallium scintigraphy.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Coronary Angiography -
Electrocardiography -
Heart Aneurysm - diagnosis
Heart Rupture, Post-Infarction - diagnosis
Humans - diagnosis
Magnetic Resonance Imaging - diagnosis
Male - diagnosis
Myocardial Infarction - complications
Pericardial Effusion - diagnosis
Pneumonia - complications

Find related publications in this database (Keywords)
Coronary Artery Disease
Silent Ischemia
Myocardial Infarction
Ventricular Aneurysm
Cardiac Rupture
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