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10.5606/tgkdc.dergisi.2022.22985
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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