Kaohsiung Journal of Medical Sciences (Jan 2010)

Medical Treatment of a Salmonella-infected Left Ventricular Pseudoaneurysm: A Case Report

  • Teng-Hung Yu,
  • Wei-Chin Hung,
  • Cheng-An Chiu,
  • Chao-Ping Wang

DOI
https://doi.org/10.1016/S1607-551X(10)70006-1
Journal volume & issue
Vol. 26, no. 1
pp. 35 – 39

Abstract

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Here, we present a case of Salmonella infection in a post-myocardial infarction patient with a left ventricular aneurysm and mural thrombus. This is a rare case that was successfully treated with medicinal therapy alone. Our experience with this case documents the early spontaneous drainage of the myocardial abscess by 8 weeks of antibiotic therapy under serial two- and three-dimensional echocardiography to monitor the clinical outcomes and guide the decision-making process. This approach may be a viable alternative for intolerant, high-risk surgical aneurysmectomy patients.

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