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Aspergillus aortitis after cardiac surgery

^* Unidad Médico-Quirúrgica de Cardiología, Hospital General Universitario "La Paz," Madrid, Spain

View larger version (154K): [in a new window]   Figure 1 Microscopic examination (hematoxylin-eosin stain, x10, before 80% reduction for publication) showing invasive aortic aspergillosis. The hyphae in this necrotic nodule radiate from a central focus, forming a micro-colony. Typical hyphae appeared as septate filaments of uniform width, with a progressive and dichotomous pattern of branching.

View larger version (103K): [in a new window]   Figure 2 Contrast aortography in the left anterior oblique 45° view (Patient no. 6) showing an aneurysm of ascending aorta without affectation of the aortic valve prosthesis.