title: [Resection of unusual atrial mass complicated with fungal endocarditis in a patient undergoing immunosuppressive treatment].
abstract: Nodules of mesothelial and monocytic cells (Mesothelial/Monocytic Incidental Cardiac Excresences; MICE) are rare cardiac lesions, non neoplastic, possibly reactive and in part derived from mesothelium. A 76 years old woman, treated with low dose of steroid and methotrexate for rheumatoid arthritis, underwent surgical excision of cardiac "MICE". Postoperative period was complicated with early and severe fungal endocarditis requiring reintervention. Two aspects are of interest: rarity of both cardiac pathologies and the possible relation to immunosuppressive therapy. Treatment of fungal endocarditis should be aggressive, overall survival is rather poor. Possibility to discontinue immunosuppressive treatment should be considered before cardiac surgery.
authors.affiliation: Unità Operativa di Cardiologia Riabilitativa, Fondazione Don Carlo Gnocchi Centro S Maria Nascente IRCCS Milano.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Comerio
authors.forename: Maurizio
authors.initials: M
authors.lastname: Ferratini
authors.forename: Antonio
authors.initials: A
authors.lastname: Pezzano
authors.forename: Vittorio
authors.initials: V
authors.lastname: Racca
authors.forename: Monica
authors.initials: M
authors.lastname: Tavanelli
authors.forename: Luigi
authors.initials: L
authors.lastname: Pirelli
authors.forename: Pino
authors.initials: P
authors.lastname: Fundarò
authors.forename: Roberto
authors.initials: R
authors.lastname: Mattioli
authors.forename: Francesco
authors.initials: F
authors.lastname: Donatelli
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000209:etiology*; D001232:Aspergillus fumigatus; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004696:Endocarditis / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*