LARGE THORACIC ASCENDING AORTIC PSEUDOANEURYSM WITH AORTIC COLLAPSE FOLLOWING AORTIC SURGERY

Aspergillus is a common environmental mold most often recognized as an infectious agent in patients with severe immune compromise. We present a case of an immunocompetent patient presenting with endogenous endophthalmitis in the absence of other infectious symptoms. The search for a systemic source revealed an ascending aortic pseudoaneurysm. Surgical resection and pathology revealed angioinvasive aspergillus aortitis. Recent cardiac surgery has been noted to be a risk factor for angioinvasive aspergillosis. Diagnosis is difficult as symptoms are mild and laboratory studies are often normal. To our knowledge this is the first case of aspergillus aortitis presenting as endogenous endophthalmitis without systemic signs of inflammation. These patients have a high mortality rate therefore early recognition is essential. It is important to consider angioinvasive aspergillus infections in patients with prior cardiac surgery presenting with occult embolic phenomena. Only with early diagnosis and prompt treatment can we improve outcomes of this disease process.

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Ascending aortic pseudoaneurysm, a ticking bomb after cardiac surgery

Cardiovascular Revascularization Medicine ◽

10.1016/j.carrev.2010.02.001 ◽

2011 ◽

Vol 12 (3) ◽

pp. 177-180 ◽

Cited By ~ 3

Author(s):

Leenhapong Navaravong ◽

Fadi Saab ◽

James R. Cook ◽

Mark Peterman ◽

Joseph Flack

Keyword(s):

Cardiac Surgery ◽

Aortic Pseudoaneurysm ◽

Ascending Aortic Pseudoaneurysm

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Ascending aortic pseudoaneurysm after aortic valve replacement: Watch the tip of the cardioplegia cannula!

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2008.04.006 ◽

2009 ◽

Vol 137 (5) ◽

pp. 1285-1286 ◽

Cited By ~ 14

Author(s):

Abbas Emaminia ◽

Ahmad Ali Amirghofran ◽

Masih Shafa ◽

Alireza Moaref ◽

Ramin Javan

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Aortic Pseudoaneurysm ◽

Ascending Aortic Pseudoaneurysm

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Percutaneous closure of giant ascending aortic pseudoaneurysm: 22 years after modified BlalockTaussig shunt with a septal occluder device

Cardiology in the Young ◽

10.1017/s1047951121003358 ◽

2021 ◽

pp. 1-4

Author(s):

Ikram Massoud ◽

Atef Yehia

Keyword(s):

Standard Treatment ◽

Surgical Repair ◽

Ascending Aorta ◽

Stent Grafts ◽

Fatal Complication ◽

Aortic Pseudoaneurysm ◽

Septal Occluder Device ◽

Occluder Device ◽

Aortopulmonary Fistula ◽

Ascending Aortic Pseudoaneurysm

Abstract Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

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