Mathieu P, Marchand R, Tardif J, Perrault L P
Department of Surgery, Montreal Heart Institute, 5000 Belanger Street East, QC H1T 1C8, Montreal, Canada.
Eur J Cardiothorac Surg. 2000 Sep;18(3):360-2. doi: 10.1016/s1010-7940(00)00491-7.
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.
我们报告了一例左心室血栓被沙门氏菌感染的患者病例。通过镓扫描显示左下胸骨旁区域有强烈活性，从而怀疑该诊断。经食管超声心动图证实为钙化性左心室动脉瘤，伴有含脓液和异质性物质的壁血栓。患者在体外循环下成功进行了左心室动脉瘤切除术、血栓切除术和心内膜切除术，使感染得到控制。
