{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T06:33:07Z","timestamp":1764225187522,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 38-year-old intravenous drug using man was scheduled for urgent pericardial window surgery to treat pericardial effusion and tamponade. Transoesophageal echocardiography (TOE) during the procedure revealed a minor residual effusion and an atypical heterogenous thickened appearance of the pericardium and adjoining aortic root. Interrogation of the aortic valve with a \u2018panning\u2019 manoeuvre from the mid-oesophageal aortic valve short axis view showed a small hypoechoic lesion between the right and non-coronary cusp at the level of the sinus of Valsalva. Postoperative high-resolution contrast CT confirmed the anaesthesia TOE findings of a small pseudoaneurysm. The decision was then made to proceed to formal aortic root replacement after 5\u2005days of directed antibiotic therapy and evidence of an increase in aneurysm size to 2.7\u2005cm on repeat CT angiogram. The patient made a good postoperative recovery and was eventually discharged from the hospital 3\u2005weeks after his second operation.<\/jats:p>","DOI":"10.1136\/bcr-2013-200675","type":"journal-article","created":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T19:54:29Z","timestamp":1385150069000},"page":"bcr2013200675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intraoperative transoesophageal echocardiographic diagnosis and successful management of mycotic aortitis and pseudoaneurysm"],"prefix":"10.1136","volume":"2013","author":[{"given":"Chong Oon","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Weinberg","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parameswan","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,11,22]]},"reference":[{"key":"2025082802551382000_2013.nov22_2.bcr2013200675.1","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1001\/archinte.1993.00410040079012","article-title":"Salmonella aortitis. 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