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Antonio Panza
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Juan A. Crestanello
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Ann Thorac Surg 2007;84:280-282
© 2007 The Society of Thoracic Surgeons

Case Reports

Mycotic Coronary Artery Aneurysm From Fungal Prosthetic Valve Endocarditis

Wing Yeen, MBBS, MBAa, Antonio Panza, MDa, Stephen Cook, MDb, Christopher Warrell, BSa, Benjamin Sun, MDa, Juan A. Crestanello, MDa,*

a Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, Ohio
b Division of Cardiology, The Ohio State University Medical Center, Columbus, Ohio

Accepted for publication February 2, 2007.

* Address correspondence to Dr Crestanello, Division of Cardiothoracic Surgery, The Ohio State University, 8th Floor North Doan Hall, 410 W 10th Ave, Columbus, OH 43210 (Email: juan.crestanello{at}osumc.edu).

Two cases of mycotic aneurysms of the left anterior descending coronary artery in patients with fungal prosthetic valve endocarditis are reported. One was managed with exclusion and interposition graft, and the other was managed by aneurysm excision, wide debridement, and distal bypass. The current literature and management strategies are reviewed.






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