Abstract
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.
MeSH terms
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Heart Diseases / diagnosis
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Heart Diseases / microbiology
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Heart Diseases / surgery*
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Heart Ventricles / diagnostic imaging
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Heart Ventricles / pathology
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Heart Ventricles / surgery*
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Humans
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Male
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Middle Aged
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Radionuclide Ventriculography
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Salmonella / isolation & purification*
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Salmonella Infections* / diagnosis
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Salmonella Infections* / microbiology
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Salmonella Infections* / surgery
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Thrombectomy / methods*
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Thrombosis / diagnosis
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Thrombosis / microbiology
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Thrombosis / surgery*