Attigah N, Herpel E, Kotelis D, Hyhlik-Dürr A, Böckler D
Klinik für Gefässchirurgie,Vaskuläre und Endovaskuläre Chirurgie, Chirurgische UniversitätsklinikRuprecht-Karls-Universität Heidelberg, 69120, Heidelberg, Deutschland.
Chirurg. 2008 Oct;79(10):984-7. doi: 10.1007/s00104-008-1531-9.
Invasive mycotic infections like aspergillosis are a major cause of death in patients with malignant haematologic diseases. Autopsy studies show that every fourth patient suffers from systemic mycotic infections. The most common cause of bleeding in aspergillosis is haemoptysis due to lung involvement, but also visceral organs like liver and kidneys are infested. We report a case of aspergillosis in which, apart from initial liver and kidney symptoms, septic arrosion of the subclavian artery also appeared. The case is described with special emphasis on the possibility of endovascular treatment as a bridging method for this fulminant complication.