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September 1970, Vol 120, No. 3 >
Article | September 1970

Left Ventricular Aneurysm in Rubella Heart Disease FREE

Ronald L. van der Horst, MB, ChB; Mervyn S. Gotsman, MD, MRCP
[+] Author Affiliations

Received for publication Dec 22, 1969.

Reprint requests to Cardiac Unit, Department of Medicine, Wentworth Hospital, Private Bag Jacobs, Durban, Natal, South Africa (Dr. van der Horst).


Am J Dis Child. 1970;120(3):248-251. doi:10.1001/archpedi.1970.02100080132015.
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A 3-year-old patient with the rubella syndrome was studied by cardiac catheterization and cineangiography and was found to have an aneurysm of the left ventricle in addition to a persistent ductus arteriosus and hypoplasia with coarctations of the pulmonary arteries. The ductus arteriosus was ligated and divided, and residual myocardial dysfunction was demonstrated six months after surgery. The aneurysm is considered to be directly related to rubella myocarditis which occurred at an earlier age in association with other areas of myocarditis resulting in a myopathic disorder.

REFERENCES

1 +
Gregg NM:  Congenital cataract following German measles in the mother . Trans Ophthal Soc Aust 3:35-46, 1941;.
2 +
Hastreiter AR, Joorabchi B, Pujatti B, et al:  Cardiovascular lesions associated with congenital rubella . J Pediat 71:59-65,1967;.
3 +
Ainger LE, Lanyer NG, Fitch CW:  Neonatal rubella myocarditis . Brit Heart J 28:691-697,1966;.
4 +
Menser MA, Dorman DC, Reye RDK, et al:  Renal artery stenosis in the rubella syndrome . Lancet 1:790-792, 1966;.
5 +
Varghese PJ, Izukawa T, Rowe RD:  Supravalvular aortic stenosis as part of rubella syndrome with discussion of pathogenesis . Brit Heart J 31:59-62, 1969;.
6 +
Nora JJ, McNamara DG:  Coronary artery sclerosis , in Watson H (ed): Paediatric Cardiology . London, Lloyd-Luke, 1968;, p 311.
7 +
Emmanouilides OC:  Obstructive lesions of the right ventricle and pulmonary arterial tree , in Moss AJ, Adams FH (eds): Heart Disease in Infants, Children and Adolescents . Baltimore, Williams & Wilkins Co, 1968;, p 480.
8 +
Franciosi RA, Blanc WA:  Myocardial infarcts in infants and children: I. A necropsy study in congenital heart disease . J Pediat 73:309-319,1968;.
9 +
Campbell PE:  Vascular abnormalities following maternal rubella . Brit Heart J 27:134-138,1965;.
10 +
Cocmers RA, Siderides CI:  Anomalous origin of both coronary arteries from pulmonary trunk: Myocardial infarction in otherwise normal heart . Amer J Cardiol 12:263-269, 1963;.
11 +
Wesselhoeft H, Fancett JS, Jordan AL:  Anomalous origin of the left coronary artery from the pulmonary trunk: Its clinical spectrum, pathology and pathophysiology based on a review of 140 cases with seven further cases . Circulation 38:403-425, 1968;.
12 +
Sanyal SK, Yules RB, Eidelman AI, et al:  Thrombocytosis, central nervous system disease and myocardial infarction pattern in infancy . Pediatrics 38:629-636,1966;.
13 +
Gruenwald P:  Necrosis in the coronary arteries of newborn infants . Amer Heart J 38:898-904,1949;.
14 +
Goner ND, Pinkerton JRH:  Idiopathic arterial calcification in infancy . Arch Dis Child 38:408-411,1963;.
15 +
Roberts FB, Fetterman GH:  Polyarteritis nodosa in infancy . J Pediat 63:519-529,1963;.
16 +
MacMahon HE, Dickinson PCT:  Occlusive fibroelastosis of coronary arteries in the newborn . Circulation 35:3-9,1967;.
17 +
Esterly JR, Oppenheimer EH:  Some aspects of cardiac pathology in infancy and childhood: Neonatal myocardial necrosis . Bull Hopkins Hosp 119:191-199, 1966;.
18 +
Gruenwald P:  The pathology of perinatal distress . Arch Path 60:150-172, 1955;.
19 +
Hogg GR:  Cardiac lesions in hemolytic disease of the newborn . J Pediat 60:352-360, 1962;.
20 +
Sanyal SK, Mahdavy M, Gabrielson MO, et al:  Fatal myocarditis in an adolescent caused by coxsackie virus group B type 4 . Pediatrics 35:36-41, 1965;.
21 +
El-Akkari E, El-Din MKB, Kassem AS:  Diverticulum of the left ventricle . Arch Dis Child 40:545-547, 1965;.
22 +
Braunstein AL, Bass LB, Thomas S:  Gummatous myocarditis and aneurysm of the left ventricle with nodal tachycardia and subsequently bundle branch block: Report of a case . Amer Heart J 19:613-622,1940;.
23 +
Beheyt P, Van Den Putte M:  L'aneurisme ventriculaire, d'origine tuberculose chez de juenes Africains . Acta Cardiol 13:419, 1958;.
24 +
Parkinson J, Bedford DE, Thomson WAR:  Cardiac aneurysm . Quart J Med 7:455-478,1938;.
25 +
Pitts HH, Purvis GS:  Ruptured traumatic aneurysm in a child . Canad Med Assoc J 57:165-166, 1947;.
26 +
Price AC, Van Praag R, Sears WP, et al:  Post-traumatic left ventricular myocardial infarction and rupture in infancy . Pediat 72:656-663,1968;.
27 +
Layman TE, January LE:  Mycotic left ventricular aneurysm involving the fibrous atrio ventricular body . Amer J Cardiol 20:423-427,1967;.
28 +
Stock E, Lubbe T:  Rupture of the right ventricle in acute myocarditis . Brit Heart J 30:135-137,1968;.
29 +
Lambert EC, Vlad P:  Primary endomyocardial disease . Pediat Clin N Amer 5:1057-1085,1958;.
30 +
Robicsek F, Dickson GC, Parke JC, et al:  Resection of a post infarction aneurysm in a 4 year old child . J Thorac Cardiovasc Surg 52:408-412,1966;.
31 +
Perry EL, Fleming RG, Edwards JE:  Myocardial lesions in subacute bacterial endocarditis . Ann Intern Med 36:126-137, 1952;.
32 +
Ruttenberg HD, Jue KL, Elliot LP, et al:  Cardiac myopathy, probably of congenital origin: A case simulating anomalous origin of the left coronary artery from the pulmonary trunk . Circulation 291:768-776,1964;.

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References

1 +
Gregg NM:  Congenital cataract following German measles in the mother . Trans Ophthal Soc Aust 3:35-46, 1941;.
2 +
Hastreiter AR, Joorabchi B, Pujatti B, et al:  Cardiovascular lesions associated with congenital rubella . J Pediat 71:59-65,1967;.
3 +
Ainger LE, Lanyer NG, Fitch CW:  Neonatal rubella myocarditis . Brit Heart J 28:691-697,1966;.
4 +
Menser MA, Dorman DC, Reye RDK, et al:  Renal artery stenosis in the rubella syndrome . Lancet 1:790-792, 1966;.
5 +
Varghese PJ, Izukawa T, Rowe RD:  Supravalvular aortic stenosis as part of rubella syndrome with discussion of pathogenesis . Brit Heart J 31:59-62, 1969;.
6 +
Nora JJ, McNamara DG:  Coronary artery sclerosis , in Watson H (ed): Paediatric Cardiology . London, Lloyd-Luke, 1968;, p 311.
7 +
Emmanouilides OC:  Obstructive lesions of the right ventricle and pulmonary arterial tree , in Moss AJ, Adams FH (eds): Heart Disease in Infants, Children and Adolescents . Baltimore, Williams & Wilkins Co, 1968;, p 480.
8 +
Franciosi RA, Blanc WA:  Myocardial infarcts in infants and children: I. A necropsy study in congenital heart disease . J Pediat 73:309-319,1968;.
9 +
Campbell PE:  Vascular abnormalities following maternal rubella . Brit Heart J 27:134-138,1965;.
10 +
Cocmers RA, Siderides CI:  Anomalous origin of both coronary arteries from pulmonary trunk: Myocardial infarction in otherwise normal heart . Amer J Cardiol 12:263-269, 1963;.
11 +
Wesselhoeft H, Fancett JS, Jordan AL:  Anomalous origin of the left coronary artery from the pulmonary trunk: Its clinical spectrum, pathology and pathophysiology based on a review of 140 cases with seven further cases . Circulation 38:403-425, 1968;.
12 +
Sanyal SK, Yules RB, Eidelman AI, et al:  Thrombocytosis, central nervous system disease and myocardial infarction pattern in infancy . Pediatrics 38:629-636,1966;.
13 +
Gruenwald P:  Necrosis in the coronary arteries of newborn infants . Amer Heart J 38:898-904,1949;.
14 +
Goner ND, Pinkerton JRH:  Idiopathic arterial calcification in infancy . Arch Dis Child 38:408-411,1963;.
15 +
Roberts FB, Fetterman GH:  Polyarteritis nodosa in infancy . J Pediat 63:519-529,1963;.
16 +
MacMahon HE, Dickinson PCT:  Occlusive fibroelastosis of coronary arteries in the newborn . Circulation 35:3-9,1967;.
17 +
Esterly JR, Oppenheimer EH:  Some aspects of cardiac pathology in infancy and childhood: Neonatal myocardial necrosis . Bull Hopkins Hosp 119:191-199, 1966;.
18 +
Gruenwald P:  The pathology of perinatal distress . Arch Path 60:150-172, 1955;.
19 +
Hogg GR:  Cardiac lesions in hemolytic disease of the newborn . J Pediat 60:352-360, 1962;.
20 +
Sanyal SK, Mahdavy M, Gabrielson MO, et al:  Fatal myocarditis in an adolescent caused by coxsackie virus group B type 4 . Pediatrics 35:36-41, 1965;.
21 +
El-Akkari E, El-Din MKB, Kassem AS:  Diverticulum of the left ventricle . Arch Dis Child 40:545-547, 1965;.
22 +
Braunstein AL, Bass LB, Thomas S:  Gummatous myocarditis and aneurysm of the left ventricle with nodal tachycardia and subsequently bundle branch block: Report of a case . Amer Heart J 19:613-622,1940;.
23 +
Beheyt P, Van Den Putte M:  L'aneurisme ventriculaire, d'origine tuberculose chez de juenes Africains . Acta Cardiol 13:419, 1958;.
24 +
Parkinson J, Bedford DE, Thomson WAR:  Cardiac aneurysm . Quart J Med 7:455-478,1938;.
25 +
Pitts HH, Purvis GS:  Ruptured traumatic aneurysm in a child . Canad Med Assoc J 57:165-166, 1947;.
26 +
Price AC, Van Praag R, Sears WP, et al:  Post-traumatic left ventricular myocardial infarction and rupture in infancy . Pediat 72:656-663,1968;.
27 +
Layman TE, January LE:  Mycotic left ventricular aneurysm involving the fibrous atrio ventricular body . Amer J Cardiol 20:423-427,1967;.
28 +
Stock E, Lubbe T:  Rupture of the right ventricle in acute myocarditis . Brit Heart J 30:135-137,1968;.
29 +
Lambert EC, Vlad P:  Primary endomyocardial disease . Pediat Clin N Amer 5:1057-1085,1958;.
30 +
Robicsek F, Dickson GC, Parke JC, et al:  Resection of a post infarction aneurysm in a 4 year old child . J Thorac Cardiovasc Surg 52:408-412,1966;.
31 +
Perry EL, Fleming RG, Edwards JE:  Myocardial lesions in subacute bacterial endocarditis . Ann Intern Med 36:126-137, 1952;.
32 +
Ruttenberg HD, Jue KL, Elliot LP, et al:  Cardiac myopathy, probably of congenital origin: A case simulating anomalous origin of the left coronary artery from the pulmonary trunk . Circulation 291:768-776,1964;.

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