Left Ventricular Apical Pseudoaneurysm
Echocardiographic and Intraoperative Findings
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A 57-year-old man with a history of hypertension and tobacco use was emergently transferred to our facility for management of a myocardial rupture. Three weeks before transfer, the patient had experienced an episode of chest pain, dyspnea, diaphoresis, and near syncope. After evaluation at an outside facility, the patient was sent home with a provisional diagnosis of pleurisy. Blood cultures drawn at that time later grew peptostreptococcus, and the patient was admitted to an outside hospital for intravenous antibiotics. An …