Satoru Tobinaga1,2, Yuichirou Hirata1, Hiroyuki Saisho1, Kumiko Wada1, Kohsuke Saku1, Satoshi Kikusaki1, Tohru Takaseya1, Hiroyuki Tanaka11Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, Japan
2Electronic correspondence: email@example.com
|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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