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Angiology
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Left Ventricular Pseudoaneurysm With Infective Pericarditis: A Rare Cause of Intractable Hemoptysis

Rajesh Vijayvergiya, DM

Departments of Cardiology, Postgraduate Institute of Medical Education and Research, rajeshvijay999@ hotmail.com

Dhanaraj Singh Chongtham, DM

Departments of Cardiology, Postgraduate Institute of Medical Education and Research

Shyam Kumar Thingnam, MCh

Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research

Anil Grover, DM

Departments of Cardiology, Postgraduate Institute of Medical Education and Research

Anupam Lal, MD

Department of Radio-Diagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India

A 52-year-old man with diabetes presented with recurrent, massive hemoptysis following pericardiectomy for pyopericardium secondary to Streptococcus viridans infection. Chest radiograph and bronchoscopic examinations revealed no bronchial cause. Computed tomography of the chest and echocardiography showed a pseudoaneurysm of the left ventricle. Surgical exploration confirmed that the pseudoaneurysm communicated with the left lung parenchyma and was the cause of recurrent intractable hemoptysis.

Key Words: pericarditis • Streptococcus viridans • left ventricle pseudoaneurysm • hemoptysis • venticulopulmonary fistula

Angiology, Vol. 59, No. 4, 507-509 (2008)
DOI: 10.1177/0003319707323289
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