Tricuspid valve repair in an infant with multiple obstructive Candida mycetomas.
Neonatal fungal valve endocarditis is an uncommon and highly lethal disease. The ideal management strategy is still controversial. Current options include antifungal chemotherapy and surgical intervention, the latter being often limited by risks inherent with valve operations in low body weight infants. We present a case of a premature infant with multiple Candida tricuspid valve mycetomas. Eradication of infection was achieved by combined liposomal amphotericin therapy and complex tricuspid valve repair. Indications, technical aspects, and outcome of treatment in infants are reviewed.
Luciani
Giovanni Battista
GB
Division of Cardiac Surgery, University of Verona, Verona, Italy. gbluciani@yahoo.com
Casali
Gianluca
G
Viscardi
Francesca
F
Marcora
Simona
S
Prioli
Maria Antonia
MA
Mazzucco
Alessandro
A
D002175:Candida; D004696:Endocarditis / Q000382:microbiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000382:microbiology* / Q000601:surgery*; D008271:Mycetoma / Q000601:surgery*; D014261:Tricuspid Valve / Q000601:surgery*