A 40-year-old man who underwent 2 times of operation for the graft interposition with aortic valve replacement because of aortic dissection was admitted due to high fever and multiple petechiae on extremities for several days. We performed Transthoracic echocardiogram and MRI, revealed vegetation in the aortic arch and descending aorta. Re-do operation of aortic segment replacement and vegetation removal was carried out. Histological evaluation of vegetatation found fungal mass of aspergillus fumigatus.
Adult ; Aorta, Thoracic ; Aortic Valve ; Aspergillus fumigatus ; Extremities ; Fever ; Humans ; Magnetic Resonance Imaging ; Purpura ; Transplants*