Left ventricular pseudoaneurysm with infective pericarditis: a rare cause of intractable hemoptysis

Angiology. Aug-Sep 2008;59(4):507-9. doi: 10.1177/0003319707323289.

Abstract

A 52-year-old man with diabetes presented with recurrent, massive hemoptysis following pericardiectomy for pyopericardium secondary to Streptococcus viridans infection. Chest radiograph and bronchoscopic examinations revealed no bronchial cause. Computed tomography of the chest and echocardiography showed a pseudoaneurysm of the left ventricle. Surgical exploration confirmed that the pseudoaneurysm communicated with the left lung parenchyma and was the cause of recurrent intractable hemoptysis.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / complications*
  • Aneurysm, False / diagnosis
  • Aneurysm, False / surgery
  • Anti-Bacterial Agents / therapeutic use
  • Bronchoscopy
  • Coronary Angiography / methods
  • Echocardiography
  • Fatal Outcome
  • Fistula / complications*
  • Fistula / etiology
  • Fistula / pathology
  • Fistula / surgery
  • Heart Aneurysm / complications*
  • Heart Aneurysm / diagnosis
  • Heart Aneurysm / surgery
  • Heart Diseases / complications*
  • Heart Diseases / etiology
  • Heart Diseases / pathology
  • Heart Diseases / surgery
  • Heart Ventricles / pathology
  • Hemoptysis / etiology*
  • Hemoptysis / pathology
  • Hemoptysis / surgery
  • Humans
  • Lung Diseases / complications*
  • Lung Diseases / etiology
  • Lung Diseases / pathology
  • Lung Diseases / surgery
  • Male
  • Middle Aged
  • Pericardiectomy
  • Pericarditis / complications*
  • Pericarditis / microbiology
  • Pericarditis / therapy
  • Respiratory Tract Fistula / complications*
  • Respiratory Tract Fistula / etiology
  • Respiratory Tract Fistula / pathology
  • Respiratory Tract Fistula / surgery
  • Tomography, X-Ray Computed
  • Viridans Streptococci / isolation & purification

Substances

  • Anti-Bacterial Agents