title: Rupture of a saphenous vein coronary artery bypass graft due to Aspergillus necrotizing vasculitis.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Heinrich-Heine-University, Duesseldorf, Germany.
authors.forename: Jutta
authors.initials: J
authors.lastname: Draganov
authors.forename: H Michael
authors.initials: HM
authors.lastname: Klein
authors.forename: Ali
authors.initials: A
authors.lastname: Ghodsizad
authors.forename: Martin
authors.initials: M
authors.lastname: Gehrke
authors.forename: Emmeran
authors.initials: E
authors.lastname: Gams
mesh_terms: 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*