Rupture of the cardiac ventricular wall is a rare and essentially lethal complication of infectious endocarditis valvularis. We report a case of a 49-year-old female patient with infectious endocarditis of the aortic valve. Following aortic valve replacement, the patient developed a sudden free left ventricular wall rupture. Immediate reoperation was successful. Histopathology revealed a myocardial infarction due to septic thromboembolism causing a phlegmonlike myocardial appearance. This is a rare case of a myocardial phlegmon with subsequent cardiac lateral wall rupture in the context of an infectious endocarditis with septic coronary embolism.
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| http://dx.doi.org/10.1055/s-0040-1716391 | DOI Listing |
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