Tobinaga Satoru, Hirata Yuichirou, Saisho Hiroyuki, Wada Kumiko, Saku Kohsuke, Kikusaki Satoshi, Takaseya Tohru, Tanaka Hiroyuki
Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, Japan. Electronic correspondence:
Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, Japan.
J Heart Valve Dis. 2016 Jul;25(4):437-439.
A 70-year-old woman with a history of aortic valve replacement and coronary artery bypass grafting (CABG) was transferred to the authors' hospital for further management of a three-month fever of unknown origin. Computed tomography showed a huge mass in the ascending aorta with pseudoaneurysm. Blood β-D-glucan levels were significantly high, and blood culture showed the growth of Candida albicans. The fungus ball was excised surgically, together with aortic root replacement and CABG, followed by six-month postoperative anti-fungal therapy. Early diagnosis by imaging studies followed by aggressive surgery and long-term postoperative antifungal treatment should result in a favorable outcome.
一名有主动脉瓣置换术和冠状动脉旁路移植术（CABG）病史的70岁女性因不明原因发热3个月被转至作者所在医院进行进一步治疗。计算机断层扫描显示升主动脉有一个巨大肿块并伴有假性动脉瘤。血液β-D-葡聚糖水平显著升高，血培养显示白色念珠菌生长。真菌球通过手术切除，同时进行主动脉根部置换和CABG，术后进行了6个月的抗真菌治疗。通过影像学检查进行早期诊断，随后积极手术和术后长期抗真菌治疗应能取得良好效果。
