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Repair of fungal pseudoaneurysm of the common brachiocephalic trunk.

Rahim HiraniSuguru OhiraRamin MalekanCorazon de la PenaGeorge KleinmanDavid Spielvogel
Published in: Journal of cardiac surgery (2022)
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.
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