Left Ventricular Pseudoaneurysm: Unexpected Finding in a Patient Who Presented With Bacterial Endophthalmitis

Klemen Steblovnik; Andraž Zupan; Ivan Kneževič; Jana Ambrožič

doi:10.1016/j.jaccas.2021.02.042

Left Ventricular Pseudoaneurysm: Unexpected Finding in a Patient Who Presented With Bacterial Endophthalmitis

JACC Case Rep. 2021 May 12;3(6):932-934. doi: 10.1016/j.jaccas.2021.02.042. eCollection 2021 Jun.

Authors

Klemen Steblovnik¹, Andraž Zupan², Ivan Kneževič³, Jana Ambrožič¹

Affiliations

¹ Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
² Department of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
³ Department of Cardiovascular Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Abstract

A large left ventricular pseudoaneurysm was discovered in a patient who presented with bacterial endophthalmitis 1 year after medically treated Staphylococcus aureus mitral valve endocarditis. After medical therapy, the patient underwent cardiac surgery uneventfully. We present a rare finding of a pseudoaneurysm complicated with a very late ocular septic event. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; LCX, left circumflex artery; LV, left ventricle; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; computed tomography; echocardiogram; endocarditis; left ventricular pseudoaneurysm.