Shared more. Cited more. Safe forever.
    • advanced search
    • submit works
    • about
    • help
    • contact us
    • login
    View Item 
    •   MOspace Home
    • University of Missouri-Columbia
    • Health Sciences Research Day (MU)
    • 2009 Health Sciences Research Day (MU)
    • View Item
    •   MOspace Home
    • University of Missouri-Columbia
    • Health Sciences Research Day (MU)
    • 2009 Health Sciences Research Day (MU)
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.
    advanced searchsubmit worksabouthelpcontact us

    Browse

    All of MOspaceCommunities & CollectionsDate IssuedAuthor/ContributorTitleIdentifierThesis DepartmentThesis AdvisorThesis SemesterThis CollectionDate IssuedAuthor/ContributorTitleIdentifierThesis DepartmentThesis AdvisorThesis Semester

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular AuthorsStatistics by Referrer

    Sudden cardiac death in a young man with massive left ventricular pseudoaneurysm

    Hoffman, Emily L.
    Wieberg, Jessica
    Prakash, Sumi
    View/Open
    [PDF] SuddenCardiacDeathYoungMan[abstract].pdf (18.43Kb)
    Date
    2010-03
    Contributor
    University of Missouri--Columbia. School of Medicine
    Format
    Abstract
    Metadata
    [+] Show full item record
    Abstract
    Introduction: Left ventricular (LV) pseudoaneurysm (PA) is a known complication of myocardial infarction and rarely, mitral valve (MV) replacement surgery or endocarditis. PAs are prone to rupture with a 50% mortality rate if untreated. We report a case of sudden cardiac death associated with massive, unruptured LVPA complicating prosthetic valve endocarditis. Case: A 28 year-old male with a history of intravenous drug abuse and MVreplacement for infective endocarditis presented with signs of congestive heart failure. A transesophageal echocardiogram (TEE) and computed tomography revealed a MV abscess, prosthetic MV insufficiency with vegetations and an extracardiac mass, possibly a LVPA. On day three, he suffered sudden onset of shortness of breath, became unresponsive, and was not resuscitated. At autopsy, the posterior-inferior surface of the heart was effaced by a massive pericardial mass compressing and displacing the normal cardiac anatomy, but was intact without evidence of rupture. There was no evidence of pulmonary embolism, but the bioprosthesis was completely destroyed. A fistula beneath the MV annulus led into the pericardial space, which contained organized thrombus with areas of fresh blood. Microscopic studies confirmed the diagnosis of LVPA. Discussion: This case illustrates an exceptional example of how the clinical suspicion for cause of death was refuted by pathological evidence and reinforces the need for pathological confirmation despite highly likely clinical suspicions. The clinical team worked closely with the pathology team to determine the potential cause of death, a cooperative endeavor that will desirably be a model for future interactions to improve patient care.
    URI
    http://hdl.handle.net/10355/6493
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
    Collections
    • 2009 Health Sciences Research Day (MU)

    Send Feedback
    hosted by University of Missouri Library Systems
     

     


    Send Feedback
    hosted by University of Missouri Library Systems