title: Aortic Arch Mycotic Aneurysm Due to Scedosporium Apiospermum Reconstructed With Homografts.
abstract: A 39-year-old female, active parenteral drug user was diagnosed of spondylodiscitis. A computed tomography (CT) scan showed an extensive aortic arch aneurysm. A positron emission tomography (PET)-CT scan, showing significant aortic wall uptake of the tracer through the whole aortic arch and the D8-D9 intervertebral disc, allowed us to suspect an aortitis despite negative blood cultures. The aneurysm was resected and reconstructed with 2 aortic homografts. Cultures of specimens from the aortic wall were positive to the fungi Scedosporium apiospermum. A new PET-CT scan 4 months after surgery showed absence of tracer uptake both at the homografts site and intervertebral disc.
authors.affiliation: Department of Cardiac Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: Arnau
authors.initials: A
authors.lastname: Blasco-Lucas
authors.affiliation: Department of Cardiac Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Reyes-Juárez
authors.affiliation: Department of Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Nazarena Pizzi
authors.affiliation: Department of Cardiac Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: Eduard
authors.initials: E
authors.lastname: Permanyer
authors.affiliation: Department of Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: Arturo
authors.initials: A
authors.lastname: Evangelista
authors.affiliation: Department of Cardiac Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain. Electronic address: manuel.galinanes@gmail.com.
authors.forename: Manuel
authors.initials: M
authors.lastname: Galiñanes
mesh_terms: D000208:Acute Disease; D000328:Adult; D064591:Allografts; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D009181:Mycoses / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D049268:Positron-Emission Tomography; D021681:Scedosporium / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed