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.

References 

  1. Osler W. The Gulstonian lectures on malignant endocarditis. Br Med J. 1885;1:522–577
  2. Taylor DO, Rehr RB, Thompson JA, Vetrovec G, Tatum JL. Aortic pseudoaneurysm occurring after cardiac transplantation. Am Heart J. 1990;120:1222–1225
  3. Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest. 1988;93:138–143
  4. Weinstein S, Horvath KD, Romney BE, Michler RE. Enlarging mediastinal mass after cardiac transplantation. Ann Thorac Surg. 1997;64:845–847
  5. Koen WJ, Bedard P, Akyurekli Y, Brais M. Causes of death in aortocoronary bypass surgery: experience with 1000 patients. Ann Thorac Surg. 1977;23:357–360
  6. Kamineni R, Lui CY, Copeland JG. Severe obstruction of the left main coronary artery by mycotic aortic psuedoaneurysm following orthotopic heart transplantation. J Heart Lung Transplant. 2004;23:499–502
  7. Anthuber M, Kemkes BM, Kreuzer E, Gokel M, Schuetz A, Kugler C, et al. Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation. Tex Heart Inst J. 1991;18:186–193
  8. Atik FA, Navia JL, Svensson LG, Vega PR, Feng J, Brizzio ME, et al. Surgical treatment of pseudoaneurysm of the thoracic aorta. J Thorac Cardiovasc Surg. 2006;132:379–385
  9. Vigano' M, Rinaldi M, D'Armini AM, Pederzolli C, Minzioni G, Grande AM. The spectrum of aortic complications after heart transplantation. Ann Thorac Surg. 1999;68:105–111
  10. Knosalla C, Weng Y, Warnecke H, Hummel M, Yankah AC, Hofmeister J, et al. Mycotic aortic aneurysms after orthotopic heart transplantation: a three-case report and a review of the literature. J Heart Lung Transplant. 1996;15:827–839
  11. Escribano Subías P, López Ríos F, Delgado Jiménez JF, Sotelo Rodríguez T, Aguado JM, Rodríguez Hernández E. Mycotic aneurysm caused by Aspergillus of the aortic suture line after heart transplantation. Rev Esp Cardiol. 2000;53:1403–1405
  12. Palanichamy N, Gregoric ID, La Francesca S, Smart FW. Mycotic pseudoaneurysm of the ascending thoracic aorta after cardiac transplantation. J Heart Lung Transplant. 2006;25:730–733
  13. Graham EM, Bandisode VM, Atz AM, Kline CH, Taylor MH, Ikonomidis JS. Percutaneous occlusion of a pseudoaneurysm evolving after homograft aortic valve and root replacement with the Amplatzer muscular ventricular septal defect occluder. J Thorac Cardiovasc Surg. 2006;131:914–916

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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