TY - JOUR
T1 - Cardiogastric fistula occurring 9 years after resection of left ventricular aneurysm
AU - Grande, Joseph P.
AU - Pellikka, Patricia A.
AU - Edwards, William D.
AU - Puga, Francisco J.
PY - 1990/6
Y1 - 1990/6
N2 - An 83-year-old man, 9 years after repair of a postinfarction aneurysm of the left ventricle, developed fever, anemia, and congestive heart failure. Extensive evaluation of the gastrointestinal tract revealed no evidence of ulcer disease. While in the hospital, he developed massive hematemesis and melena and died 2 days later. At autopsy, a communication existed between a left ventricular pseudoaneurysm and the stomach to form a cardiogastric fistula. Infection of the left ventricular pseudoaneurysm may have precipitated the gastric perforation. This represents an extremely rare late complication of aneurysmectomy procedures and, to our knowledge, is the first case to be reported in the absence of primary gastrointestinal pathology.
AB - An 83-year-old man, 9 years after repair of a postinfarction aneurysm of the left ventricle, developed fever, anemia, and congestive heart failure. Extensive evaluation of the gastrointestinal tract revealed no evidence of ulcer disease. While in the hospital, he developed massive hematemesis and melena and died 2 days later. At autopsy, a communication existed between a left ventricular pseudoaneurysm and the stomach to form a cardiogastric fistula. Infection of the left ventricular pseudoaneurysm may have precipitated the gastric perforation. This represents an extremely rare late complication of aneurysmectomy procedures and, to our knowledge, is the first case to be reported in the absence of primary gastrointestinal pathology.
KW - Cardiogastric fistula
KW - Left ventricular aneurysmectomy
KW - Left ventricular pseudoaneurysm
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U2 - 10.1016/0167-5273(90)90289-H
DO - 10.1016/0167-5273(90)90289-H
M3 - Article
C2 - 2351492
AN - SCOPUS:0025300203
SN - 0167-5273
VL - 27
SP - 327
EP - 331
JO - International Journal of Cardiology
JF - International Journal of Cardiology
IS - 3
ER -