Published in:
The Thoracic and Cardiovascular Surgeon Reports, 9 (2020) 1, Seite e51-e54
Language:
English
DOI:
10.1055/s-0040-1716391
ISSN:
2194-7635;
2194-7643
Origination:
Footnote:
Description:
Abstract Background Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis. Case Description We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patient developed a sudden free left ventricular wall rupture. Immediate reoperation was successful. Histopathology revealed a myocardial infarction due to septic thromboembolism causing a phlegmonlike myocardial appearance. Conclusion This is a rare case of a myocardial phlegmon with subsequent cardiac lateral wall rupture in the context of an infectious endocarditis with septic coronary embolism.