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Aspergillus Pseudoaneurysm Post Aortic Valve Replacement

Joel Perdomo1, David D Yuh2, Pramod Bonde1

  • 1Bonde Artificial Heart Laboratory, Center for Advanced Heart Failure and Transplantation, Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut, USA; and.

Aorta (Stamford, Conn.)
|January 23, 2016
PubMed

Insights

Postoperative Aspergillus fumigatus infections can cause rare thoracic aortic mycotic aneurysms. Early diagnosis and combined medical-surgical treatment are crucial, though long-term consequences may persist.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Postoperative thoracic aortic mycotic aneurysms are rare but severe complications.
  • Intraoperative contamination is the typical cause of these aneurysms.

Observation:

  • A patient developed an ascending aortic mycotic aneurysm 20 weeks after aortic valve replacement.
  • The patient presented atypically, necessitating a high index of suspicion for diagnosis.

Findings:

  • Prompt diagnosis and combined medical and surgical treatment were initiated.
  • Despite treatment, the patient experienced long-lasting consequences due to the aggressive nature of Aspergillus fumigatus infection.

Implications:

  • A high index of suspicion is vital for diagnosing thoracic aortic mycotic aneurysms, irrespective of patient immune status or postoperative timing.
  • Early detection and intervention are critical to minimize morbidity and mortality associated with these devastating infections.
Keywords:
Aortic aneurysmAortic valve replacementFalse lumenPseudoaneurysmThoracic aortic aneurysm

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