Published in:
01-07-2010 | Images in Pediatric Cardiology
Mycotic Aneurysm of the Left Ventricle
Published in: Pediatric Cardiology | Issue 5/2010
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A 15-year-old girl presented with a short history of a nonspecific pyrexial illness. Staphylococcus aureus was grown on blood culture, but the primary focus was not immediately identified. A pericardial effusion and a suspicious lesion on her mitral valve were found on day 7 of the illness (day 7, Fig. 1a). The effusion caused tamponade when cardiac arrest followed acute severe mitral regurgitation, and multiple large vegetations were discovered by echocardiography during resuscitation (day 8, Fig. 1b, c).
Fig. 1
a, b, d–f Apical four chamber transthoracic echocardiograms and c parasternal long axis of LV echocardiogram. Scale bar = 1 cm. A anterior, P posterior, L left, R right, I inferior, S superior, d day, RA right atrium, RV right ventricle, IVS interventricular septum, LA left atrium, TV tricuspid valve, LVPW left ventricular posterior wall, AoV aortic valve, LVAD left ventricular assist device, LVADc LVAD cannula, Veg vegetation, B blood clot, P pericardial effusion, An anuerysm, MVR mitral valve repair, MV mitral valve
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