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

Federico Ronco, MD, Sinan Simsir, MD, Lawrence Czer, MD, Huai Luo, MD, Robert J. Siegel, MDCorresponding Author Informationemail address

published online 02 November 2009.
Corrected Proof

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.

Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California (F.R., S.S., L.C., R.J.S.); and Medico in Formazione Specialistica II, Scuola di Specialita in Cardiologia, Universita degli Studi di Padova, Padova, Italy (F.R.)

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

PII: S0894-7317(09)00853-0

doi:10.1016/j.echo.2009.09.010