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Ann Thorac Surg 2001;71:1030-1032
© 2001 The Society of Thoracic Surgeons

Case report

Postpneumonectomy aortic arch mycotic aneurysm

Francois Stemmet, FCS (SA)a, John Q. Davies, FCPath (SA)b, Ulrich Otto von Oppell, PhD, FCS (SA)a

a Department of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa
b Department of Anatomical Pathology, University of Cape Town, Cape Town, South Africa

Accepted for publication September 6, 2000.

Address reprint requests to Dr von Oppell, Department of Cardiothoracic Surgery, Medical School, University of Cape Town, Cape Town, 7925, South Africa
e-mail: uvonopp{at}thoracic.cts.uct.ac.za

A 31-year-old woman who had undergone left pneumonectomy for a tuberculosis-destroyed left lung 3 years previously presented in respiratory distress after a pregnancy complicated by preeclampsia and aspiration pneumonia. Investigation revealed a large aortic arch aneurysm as well as a filling defect in the descending thoracic aortic lumen. Emergency aortic arch reconstruction was performed for a massive pseudoaneurysm or contained rupture filling the entire postpneumonectomy space. Pathologic and microbiological examination demonstrated Aspergillus fumigatus and active inflammation.




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Rupture of a Saphenous Vein Coronary Artery Bypass Graft Due to Aspergillus Necrotizing Vasculitis
Ann. Thorac. Surg., August 1, 2005; 80(2): 724 - 726.
[Abstract] [Full Text] [PDF]


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