Abscess of the Myocardium

Ryon, Dale S.; Pastor, Bernard H.; Myerson, Ralph M.

doi:10.1097/00000441-196606000-00011

Cited by 18 publications

(9 citation statements)

References 0 publications

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“…It has been described in various anatomic locations of the heart including the atrial auricle (1), the ventricular free wall (2-4), the interventricular septum (3) or perivalvular (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

“…An abscess can also be found in the setting of septicaemia, without infective endocarditis (8,9). Occasion ally myocardial abscess can …”

Section: Discussionmentioning

confidence: 99%

“…Delayed enhancement imaging revealed a linear subepicardial zone of myocardial fibrosis. occur at the site of a myocardial infarction (8,9).…”

Section: Mri Findingsmentioning

confidence: 99%

“…The clinical picture of a myocardial abscess can range from an asymptomatic state to myocardial wall rupture (8). A rapid clinical deterioration will often lead to further diagnostic evaluation and recognition of a myocardial abscess, with symptoms including protracted fever despite adequate antibiotics, development of pericarditis, congestive heart failure or new onset arrhythmias in the context of infective endocarditis (6, 9).…”

Section: Mri Findingsmentioning

confidence: 99%

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Intramyocardial paravalvular abscess after aortic valve replacement

Lutin¹,

Belleghem

Devos

2012

Journal of the Belgian Society of Radiology

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A 59-year-old man was transferred to our radiology department because of general deterioration and a left ventricular ejection fraction of 50%. Besides diabetes mellitus type II, his medical history included a significant aortic valve stenosis and ischemic heart disease for which a combined intervention was performed with prosthetic aortic valve replacement (ON-X-23) and coronary artery bypass grafting 7 years previously.Three weeks earlier he had been admitted at a general hospital for atrial fibrillation with a fast ventricular response. After successful pharmacological reconversion to sinus rhythm he was discharged from hospital within a week. Because of prostatitis he had been taking ciprofloxacin for 7 days, 250 mg twice a day. Eight days later he was admitted again because of poor general condition, confusion and dyspnoea with intermittent fever, up to 38,5°C. Pleural fluid and a consolidation were seen on chest computed tomography. Combined antibiotic therapy was started. Blood cultures and culture of the pleural fluid were negative. Despite this therapy, blood sedimentation and C-reactive protein remained high. No vegetations were seen on transesophageal echocardiography but empirical amikacin was started because of suspected prosthetic valve endocarditis. Left ventricular ejection fraction was 50%.On admission in our university hospital he was alert and oriented, but ill. He had lost 10 kg of weight in the last 2 months. He was apyrexial, had a regular heart rhythm of 90 bpm and a blood pressure of there was limited lower extremity oedema. An electrocardiogram showed a left bundle branch block.A PET-CT was performed for two reasons: to find an infectious origin of the suspected endocarditis and, because of his weight loss, nicotine (36 pack years) and alcohol abuse (5-6 U/day), to exclude a neoplasm.

show abstract

Section: Discussionmentioning

confidence: 99%

“…An abscess can also be found in the setting of septicaemia, without infective endocarditis (8,9). Occasion ally myocardial abscess can …”

Section: Discussionmentioning

confidence: 99%

“…Delayed enhancement imaging revealed a linear subepicardial zone of myocardial fibrosis. occur at the site of a myocardial infarction (8,9).…”

Section: Mri Findingsmentioning

confidence: 99%

Section: Mri Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Intramyocardial paravalvular abscess after aortic valve replacement

Lutin¹,

Belleghem

Devos

2012

Journal of the Belgian Society of Radiology

View full text Add to dashboard Cite

show abstract

“…Myocardial abscess is found in 0.18-1.52% of all autopsies of adults. [1][2][3] We described the case of a chronic kidney disease patient who had been on hemodialysis and presented with myocardial abscess and pulmonary abscesses following the infection of a AVF. One of the first cases of myocardial abscess was described by Cossio and Berconsky in 1933, in an autopsy report describing a pneumococcal abscess in infarcted myocardial tissue.…”

Section: Discussionmentioning

confidence: 99%