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CASE REPORT
Year : 2015  |  Volume : 16  |  Issue : 1  |  Page : 30-33

Atypical Early Aspergillus Endocarditis Post Prosthetic Mitral Valve Repair: A Case Report


1 Department of Cardiovascular Surgery, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrai
2 Department of Intensivest of cardiac anesthesia, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain
3 Department of Cardiovascular Surgery, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain

Correspondence Address:
Dr. Ahmed AbdulAziz Abuzaid
House 72, street 7, Block 226, Muharraq, Kingdom of Bahrain

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.152999

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A 64-year-old female operated 1 month previous for mitral valve repair presented with acute respiratory distress and dyspnea. Echocardiography showed large echogenic valvular mass measuring 2.3 × 1.3 cm with severe mitral regurgitation and dehiscence of the mitral ring posteriorly. The mass was attached subvalvularly to the ventricular septal-free wall and eroding through it, which required complete aggressive dissection of the infected tissues. Diagnosis was confirmed after resection of the valve by multiple negative blood cultures and positive valvular tissue for Aspergillus fumigatus endocarditis. She was treated with high dose of voriconazole for 3 months. Her postoperative period was complicated by acute-on-chronic renal failure. She responded very well to the management.


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