Postpneumonectomy aortic arch mycotic aneurysm.
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.
Department of Cardiothoracic Surgery, University of Cape Town, South Africa.
F
F
Stemmet
J Q
JQ
Davies
U O
UO
von Oppell
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology*; D001011:Aorta; D001018:Aortic Diseases / Q000382:microbiology*; D005260:Female; D006801:Humans; D011013:Pneumonectomy / Q000009:adverse effects*