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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > AORTIC VALVE DISEASE > Successful Surgical Treatment of a Huge Candida albicans Aortic Fungus Ball with Pseudoaneurysm

Successful Surgical Treatment of a Huge Candida albicans Aortic Fungus Ball with Pseudoaneurysm

Satoru Tobinaga1,2, Yuichirou Hirata1, Hiroyuki Saisho1, Kumiko Wada1, Kohsuke Saku1, Satoshi Kikusaki1, Tohru Takaseya1, Hiroyuki Tanaka1

1Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, Japan
2Electronic correspondence: satoru@med.kurume-u.ac.jp
A 70-year-old woman with a history of aortic valve replacement and coronary artery bypass grafting (CABG) was transferred to the authors’ hospital for further management of a three-month fever of unknown origin. Computed tomography showed a huge mass in the ascending aorta with pseudoaneurysm. Blood β-D-glucan levels were significantly high, and blood culture showed the growth of Candida albicans. The fungus ball was excised surgically, together with aortic root replacement and CABG, followed by six-month postoperative anti-fungal therapy. Early diagnosis by imaging studies followed by aggressive surgery and long-term postoperative antifungal treatment should result in a favorable outcome.

The Journal of Heart Valve Disease 2016;25:437-439
Successful Surgical Treatment of a Huge Candida albicans Aortic Fungus Ball with Pseudoaneurysm

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