Aspergillus ball thrombus occluding a homograft conduit

Almost total occlusion of an aortic homograft conduit by a ball ofAspergillus terreus was found postmortem in a 6-month-old infant followingrepair of a type I truncus arteriosus. Signs of pulmonary hypertensivecrisis, fever, anaemia, and thrombocytopenia were present. However, bloodcultures were per...

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Veröffentlicht in:European journal of cardio-thoracic surgery 1989, Vol.3 (3), p.270-272
Hauptverfasser: BHATNAGAR, N. K, DHASMANA, J. P, RUSSELL, G. A, JORDAN, S. C
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Sprache:eng
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Zusammenfassung:Almost total occlusion of an aortic homograft conduit by a ball ofAspergillus terreus was found postmortem in a 6-month-old infant followingrepair of a type I truncus arteriosus. Signs of pulmonary hypertensivecrisis, fever, anaemia, and thrombocytopenia were present. However, bloodcultures were persistently negative. A 2-D echocardiogram failed todemonstrate any vegetation. The clinical, pathological, and postmortemfindings are described and difficulties in the diagnosis of Aspergillusinfection are discussed.
ISSN:1010-7940
1873-734X
DOI:10.1016/1010-7940(89)90078-X