Abstract
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.
Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Adult
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Aortic Aneurysm, Thoracic / diagnosis
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnosis
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Aortic Dissection / surgery*
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Aspergillosis / complications*
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Aspergillosis / diagnosis
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Aspergillosis / microbiology
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Aspergillus fumigatus / isolation & purification*
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Blood Vessel Prosthesis / microbiology*
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Fatal Outcome
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Humans
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Male
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Prosthesis Failure
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Prosthesis-Related Infections / complications*
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / microbiology
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Thromboembolism / diagnosis
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Thromboembolism / etiology*
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Tomography, X-Ray Computed