Repair of fungal pseudoaneurysm of the common brachiocephalic trunk. Issue 9 (11th June 2022)

• Record Type: Journal Article
• Authors: Hirani, Rahim; Ohira, Suguru; Malekan, Ramin; de la Pena, Corazon; Kleinman, George; Spielvogel, David
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 9(2022)
• Page Start: 2912
• Page End: 2915
• Publication Date: 2022-06-11
• Subjects: bovine arch -- common brachiocephalic trunk -- pseudoaneurysm; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.16676
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Background and Aim: To date, little is known about the aneurysms of the bovine aortic arch, known as a "common brachiocephalic trunk (CBT)" from where the left carotid and innominate arteries bifurcate. Patient and Results: 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.