Aortic aspergilloma resulting in supravalvular aortic stenosis after aortocoronary bypass surgery

Robbins, Joseph; Mohanty, Pramod K.; Mohanty, Laxmi B.

doi:10.1016/0002-8703(83)90459-3

Cited by 15 publications

(10 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Wethought that our patient suffered from the result of invagination of polypoid thrombus in the mitral valve and died of mitral obstruction. The prognosis of aspergillosis with cardiac invasion is very poor, usually due to the late diagnosis and the presence of a serious associated disease (12)(13)(14)(15)(16)(17)(18). In the present case, although the fungicidal treatment was not effective; she had a large tumor in the LA, and her general condition was poor, therefore we could not choose an operation.…”

Section: Discussionmentioning

confidence: 68%

Invasive Pulmonary Aspergillosis with Thrombosis in the Left Atrium.

et al. 2001

View full text Add to dashboard Cite

Wereport a female patient with left atrial wall invasion from pulmonary aspergillosis. She had been treated for diabetes mellitus. Pulmonary aspergillosis extended to the left atrial wall via the left pulmonary vein and formed a polypoid lesion in the left atrium. The polypoid lesion was composed of thrombus, and the thrombus increased in size to become large, and it showed invagination into the mitral valve during diastole. Weconsidered that the thrombus was formed on the injured endocardium. Severe invasive aspergillosis thus could occur in a mild systemic immunocompromisedhost. (Internal Medicine 40: 250-254, 2001)

show abstract

Section: Discussionmentioning

confidence: 68%

Invasive Pulmonary Aspergillosis with Thrombosis in the Left Atrium.

et al. 2001

View full text Add to dashboard Cite

show abstract

“…summarises some clinical details for 124 patients with Aspergillus endocarditis or aortitis following heart surgery [4,8–91]. The median age of these patients was 43.5 (range 0.8–71) years.…”

Section: Literature Reviewmentioning

confidence: 99%

Post-operative aspergillosis

Pasqualotto

Denning

2006

Clinical Microbiology and Infection

157

173

View full text Add to dashboard Cite

While invasive aspergillosis occurs typically in severely immunocompromised patients, cases of surgical site infection have been reported in immunocompetent individuals. The Medline, LILACS and EMBASE databases were searched for descriptions of cases of post-operative aspergillosis, and references from relevant articles and conference abstracts were reviewed. More than 500 cases of post-operative aspergillosis were found. Cardiac surgery (n = 188), ophthalmological surgery (n > 90) and dental surgery (n > 100) were associated with the majority of cases. Other cases involved wound infections (n = 22), bronchial infections (n = 30), mediastinitis (n = 11), pleural aspergillosis (n = 1), infections following orthopaedic surgery (n = 42), vascular prosthetic surgery (n = 22), breast surgery (n = 5), abdominal surgery (n = 10) and neurosurgery (n = 25). In most patients, the source was presumed to be airborne infection during the surgical procedure. Prevention of these infections requires special care of the ventilation system in the operating room. Successful treatment requires rapid diagnosis, surgical debridement and antifungal therapy, often with voriconazole. In order to improve the outcome, better diagnostic methods are needed, particularly for cases of endocarditis and aortitis.

show abstract

“…Aspergillus aortic occlusion has also been reported after coronary artery bypass surgery, wherein the patient presented with supravalvular aortic outflow obstruction. 4 Aortic occlusion has been reported as a complication of a thrombosed Aspergillus mycotic aneurysm in a 54-year-old man. 5 Both of these patients required operative therapy and responded well.…”

Section: Discussionmentioning

confidence: 99%

Acute aortic occlusion from a Candida fungus ball

Kraev

Giashuddin

Omerovic

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

Fungal arterial infections are well-described entities resulting in direct invasion of the arterial wall or embolic occlusion of small and medium-sized arteries. However, acute occlusion of large vessels such as the aorta by fungal material is exceedingly rare. A 53-year-old woman presented with acute bilateral lower extremity ischemia. She had a history of fungal endocarditis requiring two prosthetic mitral valve replacements; the last episode was 7 months before the current admission. Imaging studies revealed that she had an acute infrarenal aortic occlusion, with evidence of multiple end-organ emboli. After transfemoral thromboembolectomy, perfusion was restored to her lower extremities with minor neurologic sequelae. She ultimately responded to intravenous antifungal agents.

show abstract

Aortic aspergilloma resulting in supravalvular aortic stenosis after aortocoronary bypass surgery

Cited by 15 publications

References 6 publications

Invasive Pulmonary Aspergillosis with Thrombosis in the Left Atrium.

Invasive Pulmonary Aspergillosis with Thrombosis in the Left Atrium.

Post-operative aspergillosis

Acute aortic occlusion from a Candida fungus ball

Contact Info

Product

Resources

About