Disseminated Mycobacterium chimaera infection associated with heater–cooler units after aortic valve surgery without endocarditis Tannaz Asadi, MD, Katherine.

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Stephen R. Broderick, MD, MPHS

Giant thrombus in ascending aorta and aortic arch

Mycoplasma hominis prosthetic valve endocarditis: The value of molecular sequencing in cardiac surgery Syed T. Hussain, MD, Steven M. Gordon, MD, Carmela.

Challenging homografts as the holy grail for aortic valve endocarditis

Lars G. Svensson, MD, PhD, Eugene H. Blackstone, MD

Infection of vascular prostheses caused by bacterial biofilms

Bigger valve size is not always better

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

Cardiac lipoma arising from left ventricular papillary muscle: Resect or not? Young Sam Kim, MD, Kyung Hee Lee, MD, PhD, Suk Jin Choi, MD, PhD, Wan Ki.

Form ever follows function

Tuberculosis presenting as an endobronchial mass

Inflammatory disease of the aorta: Patterns and classification of giant cell aortitis, Takayasu arteritis, and nonsyndromic aortitis Lars G. Svensson,

Primary pulmonary meningioma: Ten-year follow-up findings for a multiple case, implying a benign biological nature Yukitoshi Satoh, Yuichi Ishikawa

Bicuspid aortic valve aortopathy: One size fits all?

Preliminary experience with porcine intestinal submucosa (CorMatrix) for valve reconstruction in congenital heart disease: Histologic evaluation of explanted.

The lord of the rings Antonio Miceli, MD, PhD

Is tissue the issue? Brian E. Louie, MD, MHA, MPH, FRCSC, FACS

The variability of the mitral valve anatomy and terminology

Occult active giant cell aortitis necessitating surgical repair

Pathologic features of cryopreserved aortic allograft implanted in the active infection Akitoshi Yamada, MD, Kenji Okada, MD, Rei Takahashi, MD, Yutaka.

Transcatheter aortic valve replacement in intermediate-risk patients

Innovation and science: The future of valve design

Staged closure of tracheogastrocutaneous fistula after esophagectomy for infiltrative granular cell tumor Robert Merritt, MD, Steven M. Zeitels, MD,

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Endometriosis-related pneumothorax: clinicopathologic observations from a newly diagnosed case Marco Alifano, MD, Alessandra Cancellieri, MD, Adele Fornelli,

Michele Gallo, MD, Gino Gerosa, MD

Military surgeons just want to have fun

A first start for lung transplantation?

The aortic valve–sparing operation

Stephen R. Broderick, MD, MPHS

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

J. Jay Idrees, MD, Eric E. Roselli, MD, Amr Arafat, MD, Douglas R

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

In search of the smoking gun in calcific aortic valve disease

Replicating the success of mitral valve repair in the aortic valve

Primary pulmonary artery Rosai-Dorfman disease mimicking sarcoma

Attachment disorder in thoracoabdominal surgery

Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation Aaron Martin, MD, Michael.

Cardiac myxoma: Simplifying a “complex” case

Mycobacterium chimaera: The ethical duty to disclose the minimal risk of infection to exposed patients Anita Nguyen, MBBS, C. Christopher Hook, MD, Joseph.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Prognosis and “granularity”: Building on staging foundations?

The Mitroflow aortic valve: A past, present, and future illuminated

Intramuscular hemangioma of the chest wall: An unusual tumor

Hans-Joachim Schäfers, MD

Concomitant replacement of the ascending aorta is free—for some

First nights, the adrenal axis, and steroids

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Tissue valve, nitinol stent, or storage solution

Giant tracheocele The Journal of Thoracic and Cardiovascular Surgery

Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable Craig M. Jarrett,

Ascending aortitis and aortic valve endocarditis in an infant

The Journal of Thoracic and Cardiovascular Surgery

Malignant fibrous histiocytoma of the aorta

“The more things change…”: The challenges ahead

Toward a more rational approach in treating type B aortic dissection

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

Prevention and management of sternal wound infections

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

Journal changes and initiatives

Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Paul Philipp Heinisch, MD, Thierry Carrel, MD

Presentation transcript:

Disseminated Mycobacterium chimaera infection associated with heater–cooler units after aortic valve surgery without endocarditis Tannaz Asadi, MD, Katherine Mullin, MD, Eric Roselli, MD, Douglas Johnston, MD, Carmela D. Tan, MD, E. Rene Rodriguez, MD, Steven Gordon, MD The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 6, Pages 2369-2374 (June 2018) DOI: 10.1016/j.jtcvs.2017.12.049 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Gross examination of the periaortic debris shows yellow-to-tan tissue with some fibrous tissue strands (white tissue). The Journal of Thoracic and Cardiovascular Surgery 2018 155, 2369-2374DOI: (10.1016/j.jtcvs.2017.12.049) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Light micrograph of the perigraft tissue shows abundant granulation tissue, rich in polymorphonuclear leukocytes undergoing karyorrhexis and conspicuous macrophages with foamy cytoplasm. Rare multinucleated giant cells were also present (inset). ×200, hematoxylin and eosin. B, The same microscopic field shows no distinct mycobacteria at low magnification but many areas of foamy macrophages. ×200, Fite–Faraco stain. C, Multiple mycobacterial organisms are seen within foamy macrophages on oil-immersion microscopy. The inset shows a “banding” pattern of stain of the mycobacteria. ×1000, Fite–Faraco stain. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 2369-2374DOI: (10.1016/j.jtcvs.2017.12.049) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Similar to the first case, these images show abscess formation with karyorrhectic polymorphonuclear leukocytes at an interface with foamy macrophage inflammatory infiltrate. ×600, hematoxylin and eosin. B, Greater magnification shows a mycobacterium (arrow) inside a macrophage. ×1000, Fite–Faraco stain. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 2369-2374DOI: (10.1016/j.jtcvs.2017.12.049) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Gross examination of the periaortic debris shows an organizing abscess material. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 2369-2374DOI: (10.1016/j.jtcvs.2017.12.049) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Video 1 The challenges of disseminated M chimaera infection associated with heater–cooler units after valve-replacement surgery. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 2369-2374DOI: (10.1016/j.jtcvs.2017.12.049) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions