ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mitral valve replacement in a 3.9-kg infant with fungal endocarditis: A case report
Zornitsa Vassileva1, Ventsislav Boshnakov1, Anna Kaneva1, Stojan Lazarov1
1Department of Pediatric Cardiology, University National Heart Hospital, Sofia, Bulgaria
DOI : 10.5606/tgkdc.dergisi.2022.22985
A three-month-old female infant with a structurally normal heart was diagnosed with fungal endocarditis of the mitral valve with cerebral embolism. After antifungal therapy and a valve-sparing operation with complete removal of the fungal vegetations, a relapse with complete destruction of the valve leaflets and severe mitral regurgitation with decompensated heart failure occurred three months later. A second operation with successful mitral valve replacement was performed. Non-compliance with the anticoagulant treatment with vitamin K antagonist led to thrombosis of the mitral valve prosthesis one year later, and the child died from acute pulmonary edema.
Keywords : Endocarditis, fungal, mitral valve, replacement, vegetation
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