Mitral valve replacement in a 3.9-kg infant with fungal endocarditis: A case report

Zornitsa Vassileva

doi:10.5606/tgkdc.dergisi.2022.22985

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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