Post-operative Aspergillus mediastinitis is regarded to be a devastating infection, usually affecting patients undergoing cardiothoracic surgery with specific predisposing factors characterised by a high mortality and chronic morbidity. Patient outcome after such a complication is extremely poor despite antifungal therapy and surgery. We describe the case of an immunocompetent 2-month-old child with obstructed supracardiac total anomalous pulmonary venous circulation (TAPVC) and severe pulmonary artery hypertension, who underwent TAPVC repair through median sternotomy and developed post-operative mediastinitis due to Aspergillus flavus.


中文翻译：

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术后免疫功能正常儿童的曲霉菌纵隔炎



术后曲霉纵隔炎被认为是一种破坏性感染，通常影响接受心胸外科手术的患者，其具有高死亡率和慢性发病率的特定诱发因素。尽管进行了抗真菌治疗和手术，但此类并发症后的患者预后极差。我们描述了一名免疫功能正常的 2 个月大儿童的病例，该儿童患有心上型完全性肺静脉异常循环 (TAPVC) 阻塞和严重肺动脉高压，通过胸骨正中切开术接受了 TAPVC 修复，并因黄曲霉菌而出现术后纵隔炎。