Giant Candida mycetoma in an ascending aorta tubular graft.
We report the case of a 46-year-old male hospitalized for abdominal pain and fever with history of a David procedure followed by an aortic valve replacement due to severe aortic regurgitation. Transesophageal echocardiography (TEE) and computed tomography showed a large mass floating in the aorta. After surgical excision of the vegetation, attached to the Dacron prosthesis, histological examination revealed Candida hyphae and spores confirming the diagnosis of a mycetoma in an ascending aorta tubular graft. At six-month follow-up, the patient was in good clinical condition without recurrence of the fungal mass on TEE.
Heart Department, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Giuseppe
G
Di Benedetto
Rodolfo
R
Citro
Antonio
A
Longobardi
Generoso
G
Mastrogiovanni
Antonio
A
Panza
Severino
S
Iesu
Eduardo
E
Bossone
D001011:Aorta / Q000000981:diagnostic imaging* / Q000382:microbiology*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002175:Candida / Q000302:isolation & purification*; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008271:Mycetoma / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome