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European Journal of Cardio-Thoracic Surgery, Vol 3, 270-272, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Aspergillus ball thrombus occluding a homograft conduit

NK Bhatnagar, JP Dhasmana, GA Russell and SC Jordan
Cardiac Surgical Unit, Bristol Royal Infirmary, UK.

Almost total occlusion of an aortic homograft conduit by a ball of Aspergillus terreus was found postmortem in a 6-month-old infant following repair of a type I truncus arteriosus. Signs of pulmonary hypertensive crisis, fever, anaemia, and thrombocytopenia were present. However, blood cultures were persistently negative. A 2-D echocardiogram failed to demonstrate any vegetation. The clinical, pathological, and postmortem findings are described and difficulties in the diagnosis of Aspergillus infection are discussed.

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