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Eur J Cardiothorac Surg 2000;18:360-362
© 2000 Elsevier Science NL

Case report

Ventriculotomy and resection for left ventricular thrombus infection with Salmonella

^a Department of Surgery, Montreal Heart Institute, 5000 Belanger Street East, Montreal, QC H1T 1C8, Canada
^b Research Center, Montreal Heart Institute, 5000 Belanger Street East, Montreal, QC H1T 1C8, Canada
^c Department of Cardiology, Montreal Heart Institute, 5000 Belanger Street East, Montreal, QC H1T 1C8, Canada

Received 20 March 2000; received in revised form 12 May 2000; accepted 16 May 2000.

Corresponding author. Tel.: +1-514-376-3330; fax: +1-514-376-1355
e-mail: lpperrau{at}icm.umontreal.ca

We report the case of a patient with a left ventricular thrombus infected by Salmonella. The diagnosis was suspected from a gallium scan demonstrating an intense activity in the lower left parasternal area. A transesophageal echocardiogram confirmed a calcified left ventricular aneurysm with a mural thrombus containing pus and heterogeneous material. The patient underwent a successful left ventricular aneurysmectomy, thrombectomy and endocardial resection under cardiopulmonary bypass which brought the infection under control.

Key Words: Salmonella • Left ventricular thrombus • Cardiac surgery