Fatal fungal infection complicating aortic dissection following coronary artery bypass grafting.
The case of a 52-year-old man with severe coronary atheroma/ischaemic heart disease, who underwent successful triple vessel coronary artery bypass grafting is described. One month later this was complicated by aortic dissection arising at the aortic cannulation site. An emergency resection and Dacron graft placement were performed. Five weeks later he represented with haemoptysis. Despite inconclusive investigations the patient went on to suffer a massive fatal haemoptysis. Autopsy revealed Candida infection of the graft with a secondary aortobronchial fistula.
Rassl
D M
DM
Department of Histopathology, Northern General Hospital NHS Trust, Sheffield, UK.
Suvarna
S K
SK
Cooper
G J
GJ
D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D001983:Bronchial Fistula / Q000382:microbiology / Q000473:pathology; D002177:Candidiasis / Q000382:microbiology* / Q000473:pathology; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D008172:Lung Diseases, Fungal / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000473:pathology; D016459:Prosthesis-Related Infections / Q000382:microbiology*
D011093:Polyethylene Terephthalates