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European Journal of Cardio-Thoracic Surgery, Vol 7, 50-51, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Aspergillus prosthetic valve endocarditis

GT Stavridis and FP Shabbo
Department of Cardiothoracic Surgery, Brook General Hospital, London, UK.

A 66-year-old man developed Aspergillus fumigatus endocarditis, complicated by an aortic root abscess 9 months after his aortic valve replacement with a Carpentier Edwards xenograft. The aortic root was replaced with an antibiotic-treated fresh homograft and anti-fungal chemotherapy commenced 24 hours later. One month after this he developed a retrosternal pseudo-aneurysm of the ascending aorta. At re- operation the homograft was heavily infected with fungal growths and the patient was considered inoperable. This case is an example of a rare condition complicating cardiac valve prosthesis which still has a very poor prognosis, despite any surgical and chemotherapeutic efforts.

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