title: Treatment of an aortic fungal false aneurysm by composite stentless porcine/pericardial conduit: a case report.
abstract: Fungal prosthetic valve endocarditis is an uncommon but serious condition with high early and long-term mortality. The majority of these cases occur after aortic valve surgery and are caused by Candida species. Radical debridement of all infected tissues, valve replacement with perioperative and long-term anti-fungal agents is the recommended treatment. Choice of prosthesis varies widely among surgeons, but present recommendations favour biological prostheses. We report for the first time the case of a fungal PVE with false aneurysm after composite aortic root replacement with a dacron composite conduit treated successfully with aortic root replacement using a Shelhigh (Shelhigh Inc., Millburn, NJ) stentless porcine pericardial valved conduit.
authors.affiliation: Bristol Heart Institute, Bristol Royal Infirmary, Bristol, BS2 8HW, UK.
authors.forename: B
authors.initials: B
authors.lastname: Mahesh
authors.forename: M
authors.initials: M
authors.lastname: Caputo
authors.forename: G D
authors.initials: GD
authors.lastname: Angelini
authors.forename: A J
authors.initials: AJ
authors.lastname: Bryan
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001705:Bioprosthesis; D002177:Candidiasis / Q000601:surgery; D004696:Endocarditis / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation / Q000379:methods