title: Ascending aortic graft thrombosis and diffuse embolization from early endoluminal Aspergillus infection.
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.
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242-1062, USA. domenico-calcaterra@uiowa.edu
authors.forename: Domenico
authors.initials: D
authors.lastname: Calcaterra
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bashir
authors.forename: Michael P
authors.initials: MP
authors.lastname: Gailey
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013923:Thromboembolism / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed