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Surgical repair of candida mycotic pseudoaneurysm with extensive vegetations of the ascending aorta and pulmonary artery after heart and kidney transplant.

Authors
  • Castro, Rebecca1
  • Kai, Masashi2
  • Ohira, Suguru2
  • Spielvogel, David2
  • Gass, Alan3
  • 1 School of Medicine, New York Medical College, Valhalla, New York, USA.
  • 2 Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
  • 3 Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Type
Published Article
Journal
Journal of Cardiac Surgery
Publisher
Wiley (Blackwell Publishing)
Publication Date
Dec 01, 2020
Volume
35
Issue
12
Pages
3585–3587
Identifiers
DOI: 10.1111/jocs.15012
PMID: 32985715
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We report a case of invasive candidiasis causing a mycotic pseudoaneurysm involving the ascending aorta and pulmonary artery. The patient presented two years after heart-kidney transplant with acute limb ischemia resulting from embolization of fungal vegetations. Operative findings included a pseudoaneurysm resulting from near-complete dehiscence of the aortic suture line, and large vegetations within the ascending aorta extended to the aortic arch and pulmonary artery, with localized dehiscence of the pulmonic suture line. The ascending aorta was replaced, and the pulmonary artery was repaired with bovine pericardium. The patient did well, and blood cultures were negative at 6 months follow-up. © 2020 Wiley Periodicals LLC.

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