Aortic Mycetoma with Exserohilum
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Joyce Zhuang1, Omneya Kandil1, Juan M Farina1
1Mayo Clinic, Phoenix, Arizona, US.
Methodist Debakey Cardiovascular Journal
|November 7, 2026
Abstract:
We present the first reported case of aortic mycetoma due to Exserohilum, a dematiaceous mold. The patient presented with neurologic symptoms 2 months after root-sparing ascending aortic aneurysm repair with aortic valve replacement. Multimodal imaging revealed irregular densities in the aortic lumen and graft, consistent with infectious thrombus. Redo aortic aneurysm repair and aortic valve replacement was performed, and a culture of the extracted thrombus confirmed the diagnosis.
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