Rupture of a saphenous vein coronary artery bypass graft due to Aspergillus necrotizing vasculitis.
We present the first, unusual case of a lethal mediastinal hemorrhage caused by rupture of a saphenous vein aortic coronary bypass graft due to Aspergillus species necrotizing vasculitis in an immunocompetent patient 18 days after redo coronary artery bypass surgery. The patient had neither signs for mediastinitis nor for another source of Aspergillus infection.
Draganov
Jutta
J
Department of Anesthesiology, Heinrich-Heine-University, Duesseldorf, Germany.
Klein
H Michael
HM
Ghodsizad
Ali
A
Gehrke
Martin
M
Gams
Emmeran
E
D000368:Aged; D001228:Aspergillosis / Q000209:etiology*; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008482:Mediastinum; D009336:Necrosis; D011183:Postoperative Complications; D012086:Reoperation; D012422:Rupture, Spontaneous; D012501:Saphenous Vein / Q000382:microbiology* / Q000473:pathology / Q000637:transplantation; D014657:Vasculitis / Q000382:microbiology*