1.
Ann Thorac Surg
; 93(4): 1301-3, 2012 Apr.
Artigo
em Inglês
| MEDLINE
| ID: mdl-22450083
RESUMO
A 67-year-old woman presented with dyspnea on exertion and a diminished left radial pulse in comparison with the right. She had signs and symptoms of cardiac tamponade. A computed tomographic (CT) angiogram of the chest revealed an aortic arch pseudoaneurysm along the lesser curvature and a large pericardial effusion with the density of blood. Upon pericardiotomy, a nonhemorrhagic thick purulent effusion (Streptococcus milleri) was discovered in the pericardial space. Replacement of the aortic arch was performed with a rifampin-soaked Dacron tube graft, with the patient under hypothermic circulatory arrest.
Assuntos
Falso Aneurisma/cirurgia , Ruptura Aórtica/cirurgia , Derrame Pericárdico/cirurgia , Infecções Estreptocócicas/complicações , Streptococcus milleri (Grupo)/isolamento & purificação , Idoso , Falso Aneurisma/microbiologia , Aorta Torácica , Ruptura Aórtica/microbiologia , Implante de Prótese Vascular , Tamponamento Cardíaco/etiologia , Tamponamento Cardíaco/cirurgia , Feminino , Humanos , Derrame Pericárdico/microbiologia , Infecções Estreptocócicas/microbiologia , Supuração
2.
Int J Cardiol
; 82(1): 91-3, 2002 Jan.
Artigo
em Inglês
| MEDLINE
| ID: mdl-11786168