CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2018; 07(01): e50-e52
DOI: 10.1055/s-0038-1676034
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

An Unusual Complication of Pericarditis

Ashraf Rad
1   Department of Cardiac Surgery, AK St. Georg, Hamburg, Germany
,
Ulrich Lange
2   Department of Internal Medicine/Cardiology, AK Wandsbek, Hamburg, Germany
,
Bartholomaeus Makowski
3   Department of Radiology, AK Wandsbek, Hamburg, Germany
,
Thomas Held
2   Department of Internal Medicine/Cardiology, AK Wandsbek, Hamburg, Germany
,
Jürgen Schönwälder
3   Department of Radiology, AK Wandsbek, Hamburg, Germany
,
Michael Schmoeckel
1   Department of Cardiac Surgery, AK St. Georg, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

07 August 2018

12 October 2018

Publication Date:
12 December 2018 (online)

Abstract

Background According to current guidelines, acute pericarditis is an inflammatory pericardial syndrome with or without pericardial effusion.

Case Description We report on a patient who was treated for purulent pericarditis and developed a fistula from the ascending aorta to the right ventricle (RV), leading to cardiac decompensation. Operative closure of the aortic and RV perforation solved the problem.

Conclusion Bacterial pericarditis may lead to life-threatening complications. Early diagnosis and immediate therapy are essential for a successful outcome.

 
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