Pseudoaneurysm of the left ventricle following suppurative pericarditis and sepsis due to Staphylococcus aureus: a case report

摘要

A 35-year-old diabetic man presented with a left ventricular aneurysm very close to the mitral valve annulus. He had been conservatively treated for suppurative pericarditis and sepsis due to Staphylococcus aureus during the previous 3 weeks. The left ventricular aneurysm rapidly enlarged (6 cm in diameter) and the patient underwent emergent surgery. Cardiopulmonary bypass and cardioplegic arrest were induced, and the left ventricular aneurysm orifice was closed with a double layer of autologous pericardium. Mitral valve function was not impaired. He has been doing well for 4 years. Surgery is indicated as soon as possible after the diagnosis of infective left ventricular aneurysm.