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Carlos A. Mestres
José L. Pomar
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Eur J Cardiothorac Surg 2003;23:244-245
© 2003 Elsevier Science NL

Case report

Staphylococcal postoperative subannular left ventricular false aneurysm

Paolo Ortua, Carlos A. Mestresa*, José M. Mirób, José L. Pomara

a Department of Cardiovascular Surgery, The Institute of Cardiovascular Diseases (ICMCV), Idibaps-Hospital Clinico, University of Barcelona, Barcelona, Spain
b Service of Infectious Diseases, Institut Clinic d'Infeccions i de Immunologia (ICII), Idibaps-Hospital Clinico, University of Barcelona, Barcelona, Spain

Received 5 August 2002; received in revised form 23 October 2002; accepted 28 October 2002.

* Corresponding author. Cardiovascular Surgery, Hospital Clinico, Villarroel 170, 08036 Barcelona, Spain. Tel.: +34-93-2275515; fax: +34-93-4514898
e-mail: cmestres{at}mx3.redestb.es

A 37-year-old male with acute complicated methicillin-sensitive Staphylococcus aureus mitral valve endocarditis underwent urgent valve replacement with a bileaflet prosthesis. The postoperative course was complicated with fever and heart failure. Echocardiography showed a large subannular false aneurysm of the left ventricle. Three weeks later resection and closure of the defect with a patch made from a cryopreserved thoracic aorta homograft were performed. The most significant aspects of this rare complication are commented on.

Key Words: Acute mitral valve endocarditis • False aneurysm of the left ventricle • Cryopreserved arterial homograft • Thoracic aorta






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Copyright © 2003 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.