An Unusual Complication of Pericarditis

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...

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Main Authors: Ashraf Rad, Ulrich Lange, Bartholomaeus Makowski, Thomas Held, Jürgen Schönwälder, Michael Schmoeckel
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2018-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676034
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author Ashraf Rad
Ulrich Lange
Bartholomaeus Makowski
Thomas Held
Jürgen Schönwälder
Michael Schmoeckel
author_facet Ashraf Rad
Ulrich Lange
Bartholomaeus Makowski
Thomas Held
Jürgen Schönwälder
Michael Schmoeckel
author_sort Ashraf Rad
collection DOAJ
description 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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spelling doaj.art-3e1fd4a7bc7f4fd88296fbdafa9c40832022-12-22T01:56:30ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432018-01-010701e50e5210.1055/s-0038-1676034An Unusual Complication of PericarditisAshraf Rad0Ulrich Lange1Bartholomaeus Makowski2Thomas Held3Jürgen Schönwälder4Michael Schmoeckel5Department of Cardiac Surgery, AK St. Georg, Hamburg, GermanyDepartment of Internal Medicine/Cardiology, AK Wandsbek, Hamburg, GermanyDepartment of Radiology, AK Wandsbek, Hamburg, GermanyDepartment of Internal Medicine/Cardiology, AK Wandsbek, Hamburg, GermanyDepartment of Radiology, AK Wandsbek, Hamburg, GermanyDepartment of Cardiac Surgery, AK St. Georg, Hamburg, GermanyAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676034pericarditiscomplicationsfistulaleft/right shunt
spellingShingle Ashraf Rad
Ulrich Lange
Bartholomaeus Makowski
Thomas Held
Jürgen Schönwälder
Michael Schmoeckel
An Unusual Complication of Pericarditis
The Thoracic & Cardiovascular Surgeon Reports
pericarditis
complications
fistula
left/right shunt
title An Unusual Complication of Pericarditis
title_full An Unusual Complication of Pericarditis
title_fullStr An Unusual Complication of Pericarditis
title_full_unstemmed An Unusual Complication of Pericarditis
title_short An Unusual Complication of Pericarditis
title_sort unusual complication of pericarditis
topic pericarditis
complications
fistula
left/right shunt
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676034
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