Successful surgical treatment of rare Aspergillus terreus prosthetic valve endocarditis complicated by intracranial and mesenteric artery mycotic aneurysms

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Presentation transcript:

Successful surgical treatment of rare Aspergillus terreus prosthetic valve endocarditis complicated by intracranial and mesenteric artery mycotic aneurysms Rania A.R. Ahmad, MD, Syed T. Hussain, MD, Carmela D. Tan, MD, Gösta B. Pettersson, MD, PhD, Daniel Clair, MD, Steven M. Gordon, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 5, Pages e221-e223 (November 2014) DOI: 10.1016/j.jtcvs.2014.06.084 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Echocardiogram showing large vegetations in proximal aorta (arrow) near sinotubular junction. B and C, Large saccular aneurysm of superior mesenteric artery (arrow) on computed tomography (B) and intraoperative view (C). The Journal of Thoracic and Cardiovascular Surgery 2014 148, e221-e223DOI: (10.1016/j.jtcvs.2014.06.084) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 The pericardial patch, composed of dense wavy collagen bundles, is marked by a white bracket (A, B). On top of the patch is a vegetation (C) containing branching septated fungal hyphal forms that invade into the superficial portion of the patch. Acute inflammatory infiltrates forming abscesses are present underneath the patch. A, Hematoxylin-eosin, 200× original magnification; B, Gomori methenamine silver, 200× original magnification; C, Gomori methenamine silver, 400× original magnification. The Journal of Thoracic and Cardiovascular Surgery 2014 148, e221-e223DOI: (10.1016/j.jtcvs.2014.06.084) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions