Ascending Aortic Graft Thrombosis and Diffuse Embolization From Early Endoluminal Aspergillus Infection

We present a 43-year-old man who underwent emergent replacement of the ascending aorta for type A dissection and hemiarch reconstruction with a 28-mm prosthetic graft. Dramatic neurologic symptoms, renal failure, and bowel ischemia developed on postoperative day 5. A computed tomography scan showed...

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Veröffentlicht in:	The Annals of thoracic surgery 2012-10, Vol.94 (4), p.1337-1339
Hauptverfasser:	Calcaterra, Domenico, MD, Bashir, Mohammad, MD, Gailey, Michael P., DO
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery Aspergillosis - complications Aspergillosis - diagnosis Aspergillosis - microbiology Aspergillus fumigatus - isolation & purification Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis - microbiology Cardiology. Vascular system Cardiothoracic Surgery Diseases of the aorta Fatal Outcome Human mycoses Humans Infectious diseases Male Medical sciences Miscellaneous mycoses Mycoses Pneumology Prosthesis Failure Prosthesis-Related Infections - complications Prosthesis-Related Infections - diagnosis Prosthesis-Related Infections - microbiology Surgery Thromboembolism - diagnosis Thromboembolism - etiology Tomography, X-Ray Computed
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Zusammenfassung:	We present a 43-year-old man who underwent emergent replacement of the ascending aorta for type A dissection and hemiarch reconstruction with a 28-mm prosthetic graft. Dramatic neurologic symptoms, renal failure, and bowel ischemia developed on postoperative day 5. A computed tomography scan showed a large floating thrombus in the ascending aortic graft and massive peripheral embolization throughout the body.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2012.02.099