Reoperative innominate arterial, ascending aortic, and root replacement for extensive fungal endocarditis Bradley G. Leshnower, MD, Thomas G. Gleason,

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Presentation transcript:

Reoperative innominate arterial, ascending aortic, and root replacement for extensive fungal endocarditis Bradley G. Leshnower, MD, Thomas G. Gleason, MD The Journal of Thoracic and Cardiovascular Surgery Volume 129, Issue 4, Pages 941-942 (April 2005) DOI: 10.1016/j.jtcvs.2004.08.016 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative TEE images of the aortic root in the long axis (A) and short axis (B) demonstrate endovascular fungal vegetations (arrows). The left atrium (LA) and aorta (AO) are labeled. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 941-942DOI: (10.1016/j.jtcvs.2004.08.016) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Preoperative multidetector helical CTA of the chest demonstrates endovascular vegetation near the left coronary os (veg). There is a small endovascular mass within the descending thoracic aorta that might represent either thrombus or vegetation (clot/veg?). Residual dissection is noted in the descending thoracic aorta. B, CTA 12 months postoperatively demonstrated no vegetation in the aorta or innominate arteries and complete resolution of the endovascular thrombus-vegetation in the descending thoracic artery. The porcine bioroot valve cusps are well visualized. The maximum diameter of the descending thoracic artery was noted to increase from 38 mm to 40 mm over the 12-month period. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 941-942DOI: (10.1016/j.jtcvs.2004.08.016) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions