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European Journal of Cardio-Thoracic Surgery, Vol 9, 528-530, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Homograft replacement of fungal endocarditic pulmonary valve

M Tolan, S Clarke, P Schofield and FC Wells
Department of Cardiac Surgery, Papworth Hospital, Cambridge, UK.

Right-sided infective endocarditis is uncommon but is increasingly seen as a reflection of the prevalence of drug abuse, chronic intravenous catheters and associated congenital malformations. Isolated pulmonary valve endocarditis has rarely been reported and there has been only one previous report of isolated pulmonary valve fungal endocarditis. This resolved with antimicrobials. We describe a case of isolated mycotic pulmonary valve endocarditis resistant to existing anti-fungal chemotherapy, which necessitated pulmonary valve resection and replacement with a homograft.


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Copyright © 1995 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.