Aspergilloma: An Unusual Cause of Late Failure of Aortocoronary Bypass Graft

A young woman abruptly developed the return of angina pectoris after a successful coronary bypass graft. Angiography and repeated surgery revealed a proximal occlusion of the vein graft, not related to poor distal run-off. Pathologic examination of the removed vein graft revealed thrombotic occlusion associated with an intimal mycotic abscess.