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. © 2012 The Society of Thoracic Surgeons.