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J. Heart Lung Transplant. · Jun 2006
Case ReportsMycotic pseudo-aneurysm of the ascending thoracic aorta after cardiac transplantation.
- Nanthini Palanichamy, Igor D Gregoric, Saverio La Francesca, and Frank W Smart.
- Department of Cardiopulmonary Transplantation, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.
- J. Heart Lung Transplant. 2006 Jun 1; 25 (6): 730-3.
AbstractA large mycotic pseudo-aneurysm of the ascending thoracic aorta was found in a patient with empyema and infectious mediastinitis after an orthotopic heart transplant procedure. The patient underwent surgical resection of the pseudo-aneurysm with patch aortoplasty and was treated with appropriate long-term antibiotic therapy. The patient continues to do well 3 months after surgery. Early surgical intervention combined with pre-operative and prolonged post-operative antibiotic therapy and close follow-up is essential in these patients.
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