NYMC Faculty Publications
Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk
Author Type(s)
Faculty
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.
Recommended Citation
Hirani, R., Ohira, S., Malekan, R., de la Pena, C., Kleinman, G., & Spielvogel, D. (2022). Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk. Journal of Cardiac Surgery, 37 (9), 2912-2915. https://doi.org/10.1111/jocs.16676