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Ann Thorac Surg 2000;69:939-940
© 2000 The Society of Thoracic Surgeons

Case Reports

Salmonella infection of a ventricular aneurysm with mural thrombus

Yunli Zheng, MDa, Mandeep K. Rai, MDa, Karim A. Adal, MDa

a Department of Infectious Disease, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Address reprint requests to Dr Adal, Department of Infectious Disease, The Cleveland Clinic Foundation, Desk S32, 9500 Euclid Ave, Cleveland, OH 44195
e-mail: adalk{at}cesmtp.ccf.org

We describe a case of salmonella infection of a left ventricular aneurysm with a mural thrombus and review 12 cases described in the literature. This entity should be looked for in any patient with persistent or relapsing salmonella bacteremia in whom an intracardiac thrombus is demonstrated. Nuclear imaging may help in the diagnosis. A combined medical and surgical approach should be aggressively pursued because patients who do not undergo an aneurysmectomy are unlikely to survive.






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