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  • Title: Aspergillus ball thrombus occluding a homograft conduit.
    Author: Bhatnagar NK, Dhasmana JP, Russell GA, Jordan SC.
    Journal: Eur J Cardiothorac Surg; 1989; 3(3):270-2. PubMed ID: 2624793.
    Abstract:
    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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