Invasive pulmonary aspergillosis with thrombosis in the left atrium

Internal Medicine
K KobayashiT Tokushima

Abstract

We report a female patient with left atrial wall invasion from pulmonary aspergillosis. She had been treated for diabetes mellitus. Pulmonary aspergillosis extended to the left atrial wall via the left pulmonary vein and formed a polypoid lesion in the left atrium. The polypoid lesion was composed of thrombus, and the thrombus increased in size to become large, and it showed invagination into the mitral valve during diastole. We considered that the thrombus was formed on the injured endocardium. Severe invasive aspergillosis thus could occur in a mild systemic immunocompromised host.

Citations

Apr 20, 2010·General Thoracic and Cardiovascular Surgery·Hideki TeshimaShigeaki Aoyagi
Jan 9, 2004·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Hassan Chamsi-PashaAbdullah K Ashmeg
Nov 26, 2009·AJR. American Journal of Roentgenology·Vladimir SopovDavid Groshar
Feb 1, 2005·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Vedat DavutogluMetin Karakok
May 13, 2017·Mycoses·George DimopoulosUNKNOWN AspICU investigators

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