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Junjiro Kobayashi
Hiroyuki Nakajima
Kazuo Niwaya
Ko Bando
Osamu Tagusari
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Ann Thorac Surg 2005;80:2366-2368
© 2005 The Society of Thoracic Surgeons

Case report

Coronary Embolism and Subsequent Myocardial Abscess Complicating Ventricular Aneurysm and Tachycardia

Iki Adachi, MD a , Junjiro Kobayashi, MD a , Hiroyuki Nakajima, MD a , * , Kazuo Niwaya, MD a , Hatsue Ishibashi-Ueda, MD b , Ko Bando, MD a , Osamu Tagusari, MD a

a Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
b Department of Pathology, National Cardiovascular Center, Osaka, Japan

Accepted for publication July 14, 2004.

* Address correspondence to Dr Nakajima, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan (Email: hnakajim{at}hsp.ncvc.go.jp).

A 62-year-old female experienced a ventricular aneurysm and tachycardia caused by coronary embolism from mitral valve endocarditis. The patient underwent endoventricular patch plasty and cryoablation concomitant with valve replacement and survived without any operative complications. Pathological examination suggested that abscess formation played an important role regarding the disruption of the ventricular wall and development of the ventricular aneurysm and tachycardia. In previous reports, a myocardial abscess caused by a septic embolism has only been diagnosed using postmortem examinations as colony growth around the capillary vessels in the myocardium. We considered that our operation was effective and feasible in such an occurrence.




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N. Walker, A. Bhan, J. Desai, and M. J. Monaghan
Myocardial abscess: a rare complication of valvular endocarditis demonstrated by 3D contrast echocardiography
Eur Heart J Cardiovasc Imaging, December 1, 2010; 11(10): E37 - E37.
[Abstract] [Full Text] [PDF]


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