Aortic Arch Mycotic Aneurysm Due to Scedosporium Apiospermum Reconstructed With Homografts.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26046885.
- Also identified by DOI 10.1016/j.athoracsur.2014.08.067.
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Abstract
A 39-year-old female, active parenteral drug user was diagnosed of spondylodiscitis. A computed tomography (CT) scan showed an extensive aortic arch aneurysm. A positron emission tomography (PET)-CT scan, showing significant aortic wall uptake of the tracer through the whole aortic arch and the D8-D9 intervertebral disc, allowed us to suspect an aortitis despite negative blood cultures. The aneurysm was resected and reconstructed with 2 aortic homografts. Cultures of specimens from the aortic wall were positive to the fungi Scedosporium apiospermum. A new PET-CT scan 4 months after surgery showed absence of tracer uptake both at the homografts site and intervertebral disc.
Medical subject headings
- Aneurysm, Infected
- Aorta, Thoracic
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis
- Mycoses
- Scedosporium