Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk
Pathology, Microbiology & Immunology
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.
Hirani, R., Ohira, S., Malekan, R., de la Pena, C., Kleinman, G., & Spielvogel, D. (2022). Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk. https://doi.org/10.1111/jocs.16676