Giant Candida mycetoma in an ascending aorta tubular graft.

Abstract

We report the case of a 46-year-old male hospitalized for abdominal pain and fever with history of a David procedure followed by an aortic valve replacement due to severe aortic regurgitation. Transesophageal echocardiography (TEE) and computed tomography showed a large mass floating in the aorta. After surgical excision of the vegetation, attached to the Dacron prosthesis, histological examination revealed Candida hyphae and spores confirming the diagnosis of a mycetoma in an ascending aorta tubular graft. At six-month follow-up, the patient was in good clinical condition without recurrence of the fungal mass on TEE.

• Authors: Giuseppe Di Benedetto, Rodolfo Citro, Antonio Longobardi, Generoso Mastrogiovanni, Antonio Panza, Severino Iesu, Eduardo Bossone
• Journal: Journal of cardiac surgery (J Card Surg) Vol. 28 Issue 5 Pg. 557-60 (Sep 2013) ISSN: 1540-8191 [Electronic] United States
• PMID: 23947575 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2013 Wiley Periodicals, Inc.

Topics

• Aorta (diagnostic imaging, microbiology)
• Aortic Valve (surgery)
• Aortic Valve Insufficiency (surgery)
• Blood Vessel Prosthesis (microbiology)
• Blood Vessel Prosthesis Implantation (methods)
• Candida (isolation & purification)
• Echocardiography, Transesophageal
• Follow-Up Studies
• Heart Valve Prosthesis Implantation
• Humans
• Male
• Mycetoma (diagnostic imaging, microbiology, surgery)
• Prosthesis-Related Infections (diagnostic imaging, microbiology, surgery)
• Severity of Illness Index
• Treatment Outcome