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Ann Thorac Surg 2005;80:724-726
© 2005 The Society of Thoracic Surgeons

Case report

Rupture of a Saphenous Vein Coronary Artery Bypass Graft Due to Aspergillus Necrotizing Vasculitis

Jutta Draganov, MD a , H. Michael Klein, MD b , * , Ali Ghodsizad, MD b , Martin Gehrke, MD c , Emmeran Gams, MD b

a Department of Anesthesiology, Heinrich-Heine-University, Duesseldorf, Germany
b Department of Cardiovascular and Thoracic Surgery, Heinrich-Heine-University, Duesseldorf, Germany
c Department of Pathology, Heinrich-Heine-University, Duesseldorf, Germany

Accepted for publication February 6, 2004.

* Address reprint requests to Dr Klein, Department of Cardiovascular and Thoracic Surgery, Heinrich-Heine-University, Moorenstr 5, Duesseldorf 40225, Germany (Email: kleinhm{at}med.uni-duesseldorf.de).

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.






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Copyright © 2005 by The Society of Thoracic Surgeons.