NYMC Faculty Publications

Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk

Author Type(s)

Faculty

DOI

10.1111/jocs.16676

Journal Title

Journal of Cardiac Surgery

First Page

2912

Last Page

2915

Document Type

Article

Publication Date

9-1-2022

Department

Surgery

Second Department

Pathology, Microbiology and Immunology

Abstract

BACKGROUND AND AIM: To date, little is known about the aneurysms of the bovine aortic arch, known as a "common brachiocephalic trunk (CBT)" from where the left carotid and innominate arteries bifurcate. PATIENT AND RESULTS: Here we report a case of a fungal pseudoaneurysm of the bovine aortic arch in a patient who had prior history of multiple aortic valve replacement, hepatitis C infection, and human immunodeficiency virus infection. A re-operative replacement of the aortic arch repair utilizing a bifurcated graft was successfully performed under deep hypothermia and selective antegrade cerebral perfusion. Pathological examination demonstrated a pseudoaneurysm of the CBT. Intraoperative cultures from the aneurysmal wall showed Aspergillus fumigatus DISCUSSION AND CONCLUSION: we experienced a complex surgical repair of CBT pseudoaneurysm caused by Aspergillus species.

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