title: [Endovascular repair of aspergilloma-induced arrosion bleeding of the subclavian artery].
abstract: Invasive mycotic infections like aspergillosis are a major cause of death in patients with malignant haematologic diseases. Autopsy studies show that every fourth patient suffers from systemic mycotic infections. The most common cause of bleeding in aspergillosis is haemoptysis due to lung involvement, but also visceral organs like liver and kidneys are infested. We report a case of aspergillosis in which, apart from initial liver and kidney symptoms, septic arrosion of the subclavian artery also appeared. The case is described with special emphasis on the possibility of endovascular treatment as a bridging method for this fulminant complication.
authors.affiliation: Klinik für Gefässchirurgie,Vaskuläre und Endovaskuläre Chirurgie, Chirurgische UniversitätsklinikRuprecht-Karls-Universität Heidelberg, 69120, Heidelberg, Deutschland. nicolas.attigah@med.uni-heidelberg.de
authors.forename: N
authors.initials: N
authors.lastname: Attigah
authors.forename: E
authors.initials: E
authors.lastname: Herpel
authors.forename: D
authors.initials: D
authors.lastname: Kotelis
authors.forename: A
authors.initials: A
authors.lastname: Hyhlik-Dürr
authors.forename: D
authors.initials: D
authors.lastname: Böckler
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D001228:Aspergillosis / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003108:Colonic Diseases / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000473:pathology / Q000601:surgery; D007668:Kidney / Q000473:pathology; D007674:Kidney Diseases / Q000473:pathology / Q000601:surgery; D008099:Liver / Q000473:pathology; D008875:Middle Aged; D012086:Reoperation; D012772:Shock, Septic / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D013154:Spleen / Q000473:pathology; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed