Fungal mycotic vegetation in the ascending aorta.

Mahesh Ramchandani, Tadashi Motomura, Elizabeth David, Karla Kurrelmeyer, Dipan Shah, Zsolt Garami

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

In most clinical scenarios, the appropriate diagnostic methodology and treatment plan can be determined in a timely manner. However, complex clinical cases with obscure etiology can be deceptive, and a multidisciplinary approach can help to clarify things. At the Methodist DeBakey Heart & Vascular Center, we encountered a huge progressive mass in the ascending aorta in a 50-year-old chronic hemodialysis patient after mechanical aortic valve replacement. In addition to initial image diagnosis and consultation workups, a transcranial Doppler (TCD) study identified continuous generation of microemboli that suggested the need for urgent surgical resection instead of conservative heparin IV therapy. Histopathology showed the huge friable mass to be hyphenated fungal mycosis (Aspergillus or Fusarium) and necrotic tissue surrounded by fresh thrombus. The postoperative course was uneventful, and the patient was discharged home.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalMethodist DeBakey cardiovascular journal
Volume7
Issue number2
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ramchandani, M., Motomura, T., David, E., Kurrelmeyer, K., Shah, D., & Garami, Z. (2011). Fungal mycotic vegetation in the ascending aorta. Methodist DeBakey cardiovascular journal, 7(2), 41-45. https://doi.org/10.14797/mdcj-7-2-41