A case of metastatic mycotic pseudoaneurysms that developed after aortic surgery.
- Author:
Yun Ho CHOI
1
;
Joon Hyung DOH
;
Woo Ik CHANG
;
Mee JOO
;
Sung Uk KWON
;
June NAMGUNG
;
Sung Yun LEE
Author Information
1. Department of Internal Medicine, Vision21 Cardiac and Vascular Center, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. djh95@hanmail.net
- Publication Type:Case Report
- Keywords:
Mycotic pseudoaneurysm;
Metastatic fungal infection;
Thromboembolism
- MeSH:
Abdominal Pain;
Adult;
Aneurysm, False;
Angiography;
Antifungal Agents;
Aorta;
Aorta, Thoracic;
Brain;
Echocardiography, Transesophageal;
Female;
Fever;
Heart;
Humans;
Thromboembolism;
Transplants
- From:Korean Journal of Medicine
2009;76(Suppl 1):S70-S75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple mycotic pseudoaneurysms that develop after aortic surgery are a rare infectious complication. The clinical course of this disease is severe and associated with a high mortality. Few published cases have described mycotic pseudoaneurysms that are localized mainly in the brain, heart, and aorta. In this case, a 33-year-old woman was admitted with abdominal pain and mild fever after graft surgery for a ruptured thoracic aorta that occurred following a vehicle accident. Thoracoabdominal computed tomography (CT), angiography, and transesophageal echocardiography (TEE) demonstrated multiple pseudoaneurysms and thromboembolic obstructions in the thoracic aorta and its branches. She was treated with anticoagulation, coil embolization, and surgical resection. Microscopically, a resected pseudoaneurysm showed the characteristic features of fungal colonies with thrombi. This patient has been well for 2 months after removing the pseudoaneurysms and treatment with systemic antifungal agents.
