Journal of the American Society of Echocardiography
Volume 23, Issue 5 , Pages 580.e1-580.e3, May 2010

Incidental Finding by Two-Dimensional Echocardiography of a Mycotic Pseudoaneurysm of the Ascending Aorta After Orthotopic Heart Transplantation

  • Federico Ronco, MD

      Affiliations

    • Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California
    • Medico in Formazione Specialistica II, Scuola di Specialita in Cardiologia, Universita degli Studi di Padova, Padova, Italy
    • ,
  • Sinan Simsir, MD

      Affiliations

    • Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California
    • ,
  • Lawrence Czer, MD

      Affiliations

    • Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California
    • ,
  • Huai Luo, MD

      Affiliations

    • Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California
    • ,
  • Robert J. Siegel, MD

      Affiliations

    • Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California
    • Corresponding Author InformationReprint requests: Robert J. Siegel, MD, Cedars-Sinai Medical Center, Division of Cardiology, 8700 Beverly Blvd, Room 5623, Los Angeles, CA 90048.

published online 02 November 2009.

Mycotic pseudoaneurysm of the ascending aorta is a rare and potentially fatal complication of cardiac surgery, particularly in immunosuppressed heart transplantation patients. In this case, a 70-year-old man who underwent heart transplantation 4 months earlier was incidentally found to have a large pseudoaneurysm of the ascending aorta at the level of the aortic suture line. Surgical repair of the pseudoaneurysm was undertaken, and cultures from the pseudoaneurysm were found to be positive for Aspergillus fumigatus.

Keywords: Heart transplant, Aortic pseudoaneurysm, Aspergillus

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PII: S0894-7317(09)00853-0

doi:10.1016/j.echo.2009.09.010

Journal of the American Society of Echocardiography
Volume 23, Issue 5 , Pages 580.e1-580.e3, May 2010

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