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Aspergillus endocarditis in a paediatric patient after a cardiac surgery, associated with septic pulmonary embolism and pulmonary hypertension

Published online by Cambridge University Press:  04 April 2014

Joana O. Miranda ,
António Rodrigues de Sousa  and
José Monterroso
Joana O. Miranda*
Affiliation:
Department of Paediatric Cardiology, Centro Hospitalar São João, Porto, Portugal
António Rodrigues de Sousa
Affiliation:
Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal
José Monterroso
Affiliation:
Department of Paediatric Cardiology, Centro Hospitalar São João, Porto, Portugal
*
Correspondence to: J. O. Miranda, Department of Paediatric Cardiology, Centro Hospitalar São João, Porto, Portugal. Tel: +351 225512100; Fax: +351 225512273; E-mail: [email protected]
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Abstract

We report a rare case of pulmonary prosthetic valve endocarditis due to Aspergillus fumigatus, associated with septic pulmonary embolism and secondary pulmonary hypertension, in a 4-year-old boy with surgically corrected tetralogy of Fallot. The diagnosis and treatment of Aspergillus endocarditis remains highly challenging. The best therapeutic option for chronic thromboembolic pulmonary hypertension due to an infectious thromboembolic event is highly debatable and the results are poor.

Keywords

EndocarditisAspergilluspulmonary hypertensionseptic pulmonary embolismcongenital heart disease
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 3 , March 2015 , pp. 563 - 565
Copyright
© Cambridge University Press 2014 

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References

1. El-Hamamsy, I, Dürrleman, N, Stevens, LM, Perrault, LP, Carrier, M. Aspergillus endocarditis after cardiac surgery. Ann Thorac Surg 2005; 80: 359–364.CrossRefGoogle Scholar
2. Kalokhe, AS, Rouphael, N, El Chami, MF, Workowski, KA, Ganesh, G, Jacob, JT. Aspergillus endocarditis: a review of the literature. Int J Infect Dis 2010; 14: e1040–e1047.Google Scholar
3. Walsh, TJ, Anaissie, EJ, Denning, DW, et al. Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis 2008; 46: 327–360.Google Scholar
4. Habib, G, Hoen, B, Tornos, P, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009). The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC) Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and by the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J 2009; 30: 2369–2413.Google Scholar
5. Heiberg, J, Ilkjær, LB. Pulmonary endarterectomy after pulmonary infectious embolisms. Interact Cardiovasc Thorac Surg 2013; 16: 556–557.Google Scholar