Department of Surgery, Westchester Medical Center, Division of Cardiothoracic Surgery, New York Medical College, Valhalla, New York, USA.
Department of Pathology, Westchester Medical Center, Valhalla, New York, USA.
J Card Surg. 2022 Sep;37(9):2912-2915. doi: 10.1111/jocs.16676. Epub 2022 Jun 11.
To date, little is known about the aneurysms of the bovine aortic arch, known as a "common brachiocephalic trunk (CBT)" from where the left carotid and innominate arteries bifurcate.
Here we report a case of a fungal pseudoaneurysm of the bovine aortic arch in a patient who had prior history of multiple aortic valve replacement, hepatitis C infection, and human immunodeficiency virus infection. A re-operative replacement of the aortic arch repair utilizing a bifurcated graft was successfully performed under deep hypothermia and selective antegrade cerebral perfusion. Pathological examination demonstrated a pseudoaneurysm of the CBT. Intraoperative cultures from the aneurysmal wall showed Aspergillus fumigatus DISCUSSION AND CONCLUSION: we experienced a complex surgical repair of CBT pseudoaneurysm caused by Aspergillus species.
迄今为止，对于牛主动脉弓的动脉瘤知之甚少，该动脉瘤被称为“共同头臂干（CBT）”，从这里左颈总动脉和无名动脉分叉。
在这里，我们报告了一例牛主动脉弓真菌性假性动脉瘤的病例，该患者有多次主动脉瓣置换、丙型肝炎感染和人类免疫缺陷病毒感染的既往病史。在深低温和选择性顺行脑灌注下，成功地进行了再次手术替换主动脉弓修复，使用分叉移植物。病理检查显示 CBT 假性动脉瘤。来自动脉瘤壁的术中培养显示烟曲霉。
我们经历了由烟曲霉引起的 CBT 假性动脉瘤的复杂手术修复。
