Eur J Cardiothorac Surg 2004;26:646
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
A huge fungal vegetation in the ascending aorta vascular graft
Tae-Eun Jung,
Jang-Hoon Lee,
Sung-Sae Han,
Dong-Hyup Lee*
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, 317-1, Daemyungdong, Namgu, 705-035 Daegu, South Korea
Received 14 March 2004;
received in revised form 4 May 2004;
accepted 10 May 2004.
* Corresponding author. Tel.: +82-53-620-3883; fax: +82-53-626-8660
e-mail: dhlee{at}med.yu.ac.kr
Key Words: Fungal • Vegetation • Vascular graft
A 39-year-old man had Bentall's operation and replacement of the aortic arch. However, he was readmitted with high fever 70 days after operation and MRI revealed a fungating mass in the graft (Fig. 1)
. He was treated by a partial resection of graft, but died of sepsis. The histologic findings were aspergillosis (Fig. 2)
.
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Fig. 1. (Above) Sagittal MRI image (T1-weighted) showing fungating mass (arrow). (Below) Axial MRI image (T1-weighted) showing biloulated mass in the ascending vascular graft (arrow).
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Fig. 2. (Above) Photograph of an intraoperative specimen of fungal vegetation in the lesser curvature of the vascular graft anastomotic site. (Below) High-magnification photomicrograph showing morphological features of aspergillus species: (H&E, x400).
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