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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e51-e54
DOI: 10.1055/s-0040-1716391
Case Report: Cardiac

Cardiac Phlegmon: Infectious Endocarditis Causing Ventricular Wall Rupture

Felix Fleißner 
1   Department of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany
2   Institute for Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany
,
Igor Tudorache
1   Department of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Matthias Christgen
3   Institute of Pathology, Hannover Medical School, Hannover, Niedersachsen, Germany
,
Serghei Cebotari
1   Department of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany
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Abstract

Background Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis.

Case Description We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patient developed a sudden free left ventricular wall rupture. Immediate reoperation was successful. Histopathology revealed a myocardial infarction due to septic thromboembolism causing a phlegmonlike myocardial appearance.

Conclusion This is a rare case of a myocardial phlegmon with subsequent cardiac lateral wall rupture in the context of an infectious endocarditis with septic coronary embolism.

Keywords

open heart surgery - infection - aneurysm


Publication History

Received: 03 December 2019

Accepted: 24 January 2020

Article published online:
02 November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Stuttgart · New York

 

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