title: Aspergillus prosthetic valve endocarditis causing functional aortic stenosis: initial case report.
abstract: In the modern surgical era, postoperative prosthetic valve endocarditis persists as a potentially devastating complication of valve replacement surgery. While generally resulting in valvular destruction and regurgitation, prosthetic valve endocarditis may also result in valvular obstruction. The diagnosis of prosthetic valve endocarditis may be difficult due to technical limitations affecting the diagnostic capability of transthoracic echocardiography in patients with prosthetic valves and the indolent nature of the infectious process. We describe the first reported case of Aspergillus endocarditis leading to obstruction of a prosthetic valve in a patient with recent aortic valve replacement.
authors.affiliation: Department of Medicine, Division of Cardiology, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Downey
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Warner
authors.forename: Carey
authors.initials: C
authors.lastname: Kimmelstiel
mesh_terms: D000368:Aged; D001158:Arteries / Q000002:abnormalities; D017023:Coronary Angiography / Q000379:methods*; D023921:Coronary Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000000981:diagnostic imaging*; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D006801:Humans; D008297:Male; D035583:Rare Diseases; D012307:Risk Factors