Cardiogastric fistula occurring 9 years after resection of left ventricular aneurysm

Joseph P. Grande, Patricia A. Pellikka, William D. Edwards, Francisco J. Puga

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)327-331
Number of pages5
JournalInternational Journal of Cardiology
Volume27
Issue number3
DOIs
StatePublished - Jun 1990

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Keywords

  • Cardiogastric fistula
  • Left ventricular aneurysmectomy
  • Left ventricular pseudoaneurysm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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