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Successful Treatment of Left Atrial Auricular Abscess -A case report -  

이정렬 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
김준성 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
배은정 (서울대학교 어린이병원 소아과, 서울대학교 의과대학 소아과학교실)
노정일 (서울대학교 어린이병원 소아과, 서울대학교 의과대학 소아과학교실)
안규리 (서울대학교 내과학교실)
Publication Information
Journal of Chest Surgery / v.37, no.3, 2004 , pp. 272-274 More about this Journal
Abstract
We report an unusual case of left atrial auricular abscess which was successfully treated by surgical resection, treatment with antibiotics and mediastinal irrigation. A 9-year-old female patient with previous history of urinary tract infection was admitted because of persistent fever. Echocardiography and magnetic resonance imaging revealed massive pericardial effusion and a mass lesion at the left upper cardiac border. Pericardiocentesis isolated Staphylococcus aureus on culture. The patient underwent mass removal under cardiopulmonary bypass. The mass was located within the left atrial auricular wall with fibropurulent abscess formation inside. Postoperative mediastinal irrigation was performed. Pathologic examination of the mass showed organized thrombi with chronic fibrosing mural endocarditis. She discharged on the 21st postoperative day without complication.
Keywords
Abscess; Endocarditis; Staphylococcus aureus; Pericardiocentesis;
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