Rupture of a saphenous vein coronary artery bypass graft due to Aspergillus necrotizing vasculitis

Ann Thorac Surg. 2005 Aug;80(2):724-6. doi: 10.1016/j.athoracsur.2004.02.064.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aspergillosis / etiology*
  • Blood Vessel Prosthesis / microbiology*
  • Coronary Artery Bypass / adverse effects*
  • Fatal Outcome
  • Hemorrhage / etiology
  • Humans
  • Immunocompetence
  • Male
  • Mediastinum
  • Necrosis
  • Postoperative Complications
  • Reoperation
  • Rupture, Spontaneous
  • Saphenous Vein / microbiology*
  • Saphenous Vein / pathology
  • Saphenous Vein / transplantation
  • Vasculitis / microbiology*