Pitlik S, Cohen L, Melamed R, Rosenfeld J
Chest. 1977 Feb;71(2):227-9. doi: 10.1378/chest.71.2.227.
Acute bacterial endocarditis developed in a 65-year-old man two years after surgical resection of a false aneurysm of the left ventricle. The patient had cerebral embolic manifestations, and coagulase-positive Staphylococcus aureus was cultured from each of six blood samples. A pericardial friction rub and a changing pansystolic murmur appeared during the third week of hospitalization. The presence of a false aneurysm was once again demonstrated on ventriculographic studies. This was successfully repaired, employing cardiopulmonary bypass. The sequence of events in this patient suggests that bacterial endocarditis at the site of a previous cardiomyotomy might have led to the development of the second pseudo-aneurysm.
一名65岁男性在左心室假性动脉瘤手术切除两年后发生急性细菌性心内膜炎。患者有脑栓塞表现，从六份血样中每份均培养出凝固酶阳性金黄色葡萄球菌。住院第三周出现心包摩擦音和变化的全收缩期杂音。心室造影研究再次显示存在假性动脉瘤。采用体外循环成功修复。该患者的一系列事件提示，先前心肌切开部位的细菌性心内膜炎可能导致了第二个假性动脉瘤的形成。
