| Summary: | Rola Ali,1– 3 Abdullah Elhosiny,1,2 Seraj Abualnaja,2,4 Ghassan Baslaim2,4 1Department of Internal Medicine, Dr. Soliman Fakeeh Hospital, Jeddah, Kingdom of Saudi Arabia; 2Department of Medicine, Fakeeh College of Medical Sciences, Jeddah, Kingdom of Saudi Arabia; 3Department of Medicine, An-Najah National University, Nablus, West Bank, Palestine; 4Department of Cardiology, Cardiothoracic and Vascular Surgery, Dr. Soliman Fakeeh Hospital, Jeddah, Kingdom of Saudi ArabiaCorrespondence: Rola AliDepartment of Internal Medicine, Dr. Soliman Fakeeh Hospital, Jeddah, Kingdom of Saudi ArabiaTel +970 592192425Email Ksa44321@gmail.comAbstract: Pseudoaneurysms of the ascending aorta are rare, yet they are life-threatening conditions and usually associated with poor outcomes due to insidious presentation. Many different etiologies have been associated with aortic pseudoaneurysms including; atherosclerosis, infections, connective tissue disorders, and traumatic causes. In addition, aortic pseudoaneurysms have been reported following thoracic surgeries, including aortic valve replacements, aortic dissection repair, and coronary artery bypass grafting. Aspergillus is amongst the infectious etiologies of pseudoaneurysms. Aspergillus species is a ubiquitous mold (fungus) that is mostly harmless but may result in serious illnesses in immunocompromised hosts with hematologic neoplasms, neutropenia, or immunodeficiency syndromes. In this paper, we report a case of an ascending aortic pseudoaneurysm caused by Aspergillus infection. To our knowledge, this is an exceptionally rare case diagnosed incidentally in an immunocompetent patient, who is surgically free and without any pre-existing risk factors.Keywords: aspergillosis, aorta, pseudoaneurysm
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