{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:33Z","timestamp":1740174873734,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T00:00:00Z","timestamp":1714694400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T00:00:00Z","timestamp":1714694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Although the true prevalence and incidence are not clearly known, mycotic pulmonary artery aneurysm is a potentially devastating condition that leads to high mortality, over 60% if untreated. Among them, mycotic pulmonary artery pseudoaneurysm, which occurs in relatively central areas, has rarely been reported. We report an extremely rare case of a late complication with a mycotic pulmonary artery pseudoaneurysm, presumably due to infective endocarditis, in a 68-year-old woman 4\u00a0months after total arch replacement.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 68-year-old woman was referred to our department for 2\u00a0weeks with fever of unknown origin. She had a history of emergency total arch replacement for an acute type A aortic dissection 4\u00a0months earlier and chronic rheumatoid arthritis on monthly subcutaneous tocilizumab treatment for several years. Blood culture was positive for <jats:italic>Enterococcus faecalis<\/jats:italic>. Transthoracic and transesophageal echocardiography revealed a left ventricular ejection fraction of 58%, severe mitral regurgitation with a 15-mm diameter vegetation on the anterior mitral leaflet, and severe aortic insufficiency with string-like structures. Contrast computed tomography showed a focal saccular outpouching from the right pulmonary artery. On 18F-fluorodeoxyglucose (FDG) positron emission tomography, focal uptake of FDGs was observed along the same lesion of the pulmonary artery and ascending-arch graft. The patient eventually recovered after the surgical intervention of mitral and aortic valve replacement, re-total arch replacement, pulmonary artery repair, application of omental flap, and antibiotics without any evidence of re-infection after 1\u00a0year.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We report a successful surgical repair of mycotic pulmonary artery pseudoaneurysm 4\u00a0months after total arch replacement for acute type A aortic dissection. This report describes an effective treatment for an extremely rare postoperative condition.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01896-9","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T10:02:52Z","timestamp":1714730572000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mycotic pulmonary artery pseudoaneurysm following total arch replacement: a case report"],"prefix":"10.1186","volume":"10","author":[{"given":"Hiroaki","family":"Osada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Sakaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Yamazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7828-9762","authenticated-orcid":false,"given":"Kenji","family":"Minatoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,3]]},"reference":[{"key":"1896_CR1","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.ijscr.2018.07.029","volume":"50","author":"LL Benhassen","year":"2018","unstructured":"Benhassen LL, H\u00f8jsgaard A, Allan Terp K, de Paoli FV. Surgical approach to a mycotic aneurysm of the pulmonary artery presenting with hemoptysis\u2014a case report and a review of the literature. Int J Surg Case Rep. 2018;50:92\u20136.","journal-title":"Int J Surg Case Rep"},{"key":"1896_CR2","doi-asserted-by":"publisher","first-page":"1357","DOI":"10.1007\/s10554-019-01547-3","volume":"35","author":"A Kalra-Lall","year":"2019","unstructured":"Kalra-Lall A, Donaldson J, Martin C 3rd. Brief review: pulmonary artery aneurysms and pseudoaneurysms. Int J Cardiovasc Imaging. 2019;35:1357\u201364.","journal-title":"Int J Cardiovasc Imaging"},{"key":"1896_CR3","doi-asserted-by":"publisher","first-page":"84","DOI":"10.2214\/AJR.16.16312","volume":"208","author":"Y Chen","year":"2017","unstructured":"Chen Y, Gilman MD, Humphrey KL, Salazar GM, Sharma A, Muniappan A, et al. Pulmonary artery pseudoaneurysms: clinical features and CT findings. AJR Am J Roentgenol. 2017;208:84\u201391.","journal-title":"AJR Am J Roentgenol"},{"key":"1896_CR4","doi-asserted-by":"publisher","first-page":"20160783","DOI":"10.1259\/bjr.20160783","volume":"90","author":"B Guillaume","year":"2017","unstructured":"Guillaume B, Vendrell A, Stefanovic X, Thony F, Ferretti GR. Acquired pulmonary artery pseudoaneurysms: a pictorial review. Br J Radiol. 2017;90:20160783.","journal-title":"Br J Radiol"},{"key":"1896_CR5","doi-asserted-by":"publisher","first-page":"3381","DOI":"10.1111\/jocs.16738","volume":"37","author":"V Pujitha","year":"2022","unstructured":"Pujitha V, Shaw M, Kumar S, Ramakrishnan S. A rare case of infective endocarditis in association with ventricular septal defect complicated by mycotic pulmonary artery aneurysm. J Card Surg. 2022;37:3381\u20133.","journal-title":"J Card Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01896-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01896-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01896-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T10:03:12Z","timestamp":1714730592000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01896-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,3]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1896"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01896-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,5,3]]},"assertion":[{"value":"2 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics review is not required for case report implementation at our institution.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and the accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"109"}}