Multimodality Diagnosis Approach of Cardiac Aspergillosis
Soraya El Ghannudi, Alessio Imperiale, Tristan Dégot, Philippe Germain, Annie Trinh, Roxana Petean, Paulette Le Van Quyen, Marie-Pierrette Chenard, Valerie Letscher-Bru, Romain Kessler and Raoul Herbrecht
Article first published online: 20 JAN 2016 | DOI: 10.1111/echo.13165
A 56-year-old patient with a history of bilateral lung transplantation for idiopathic interstitial pneumonia not responding to corticosteroids therapy had a good initial postoperative outcome. One month later, subcutaneous nodules appeared and histopathology revealed septate hyphae in the nodules and Aspergillus fumigatus in bronchial lavage. FDG PET/CT and CMR revealed multiple left and right ventricles abscesses consistent with cardiac aspergillosis. The combination of FDG PET/CT and CMR was useful to detect the cardiac localization of systemic aspergillosis, to define the precise morphological details of myocardial lesions and to evaluate the response to treatment.