| CASE REPORT |
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| Year : 2015 | Volume
: 16
| Issue : 1 | Page : 30-33 |
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Atypical Early Aspergillus Endocarditis Post Prosthetic Mitral Valve Repair: A Case Report
Ahmed AbdulAziz Abuzaid1, Mahmood Zaki2, Habib Tarif3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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