Ascending aortic graft thrombosis and diffuse embolization from early endoluminal Aspergillus infection

Ann Thorac Surg. 2012 Oct;94(4):1337-9. doi: 10.1016/j.athoracsur.2012.02.099.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / surgery*
  • Aspergillosis / complications*
  • Aspergillosis / diagnosis
  • Aspergillosis / microbiology
  • Aspergillus fumigatus / isolation & purification*
  • Blood Vessel Prosthesis / microbiology*
  • Fatal Outcome
  • Humans
  • Male
  • Prosthesis Failure
  • Prosthesis-Related Infections / complications*
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / microbiology
  • Thromboembolism / diagnosis
  • Thromboembolism / etiology*
  • Tomography, X-Ray Computed