Repair of Fungal Pseudoaneurysm of the Common Brachiocephalic Trunk

Authors

Rahim Hirani, Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.
Suguru Ohira, Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.
Ramin Malekan, Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.
Corazon de la Pena, Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.
George Kleinman, Department of Pathology, Westchester Medical Center, Valhalla, New York, USA.
David Spielvogel, Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.

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.

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