{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T19:39:56Z","timestamp":1773085196292,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,5,14]]},"abstract":"<jats:p>\n                  <jats:italic>Aspergillus<\/jats:italic> infections such as <jats:italic>Aspergillus endocarditis<\/jats:italic> were once relatively rare occurrences, however, due to the increased use of intracardiac devices, the incidence has grown. With mortality rates close to 100%, in medically treated cases, it is paramount that early diagnosis and treatment are performed. An immunocompetent aviculturist presented 8\u2005months post aortic root replacement for severe aortic regurgitation with a composite graft, with central crushing chest pain. Investigations confirmed ST elevation inferior myocardial infarction due to stenosis of the origin of the right coronary artery, which was stented. Echocardiogram demonstrated a mobile mass posterior to the left ventricular outflow tract. Following referral to our cardiothoracic surgeons, a polypoidal mass covering the right ostial button was noted along with systemic complications of the disease. Emergency redo aortic valve replacement with a homograft and coronary artery bypass was performed. Histological analysis confirmed <jats:italic>A<\/jats:italic>. <jats:italic>fumigatus<\/jats:italic> and the patient was started on intravenous voriconazole.<\/jats:p>","DOI":"10.1136\/bcr-2014-207702","type":"journal-article","created":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T04:04:59Z","timestamp":1432872299000},"page":"bcr2014207702","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Systemic aspergilloma post aortic root surgery following coronary artery stenting: diagnostic and management dilemma"],"prefix":"10.1136","volume":"2015","author":[{"given":"Nabil","family":"Hussein","sequence":"first","affiliation":[{"name":"University Hospital of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sombul","family":"Qamar","sequence":"additional","affiliation":[{"name":"Medical School, Keele University, Stoke on Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qamar","family":"Abid","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Royal Stoke University Hospital, Stoke on Trent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,5,29]]},"reference":[{"key":"2025082805314395000_2015.may29_1.bcr2014207702.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.08.070"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.2","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1128\/CMR.12.2.310","article-title":"Aspergillus fumigatus and aspergillosis","volume":"12","author":"Latg\u00e9","year":"1999","journal-title":"Clin Microbiol Rev"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2010.08.005"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.4","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00469-2"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.1.302"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0248-4900(05)80189-3"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.7","doi-asserted-by":"publisher","DOI":"10.1099\/00221287-131-5-1251"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(87)90902-8"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2008.01491.x"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.10","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.029850"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.11","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1099\/jmm.0.004531-0","article-title":"Molecular diagnosis of Aspergillus endocarditis after cardiac surgery","volume":"58","author":"Badiee","year":"2009","journal-title":"J Med Microbol"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.12","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkr450"},{"key":"2025082805314395000_2015.may29_1.bcr2014207702.13","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2008.806"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:31:49Z","timestamp":1756384309000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,29]]},"references-count":13,"alternative-id":["10.1136\/bcr-2014-207702"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207702","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,29]]}}}