Aspergillus endocarditis in a paediatric patient after a cardiac surgery, associated with septic pulmonary embolism and pulmonary hypertension.
We report a rare case of pulmonary prosthetic valve endocarditis due to Aspergillus fumigatus, associated with septic pulmonary embolism and secondary pulmonary hypertension, in a 4-year-old boy with surgically corrected tetralogy of Fallot. The diagnosis and treatment of Aspergillus endocarditis remains highly challenging. The best therapeutic option for chronic thromboembolic pulmonary hypertension due to an infectious thromboembolic event is highly debatable and the results are poor.
1Department of Paediatric Cardiology,Centro Hospitalar São João,Porto,Portugal.
Joana O
JO
Miranda
2Department of Cardiothoracic Surgery,Centro Hospitalar São João,Porto,Portugal.
António Rodrigues
AR
de Sousa
1Department of Paediatric Cardiology,Centro Hospitalar São João,Porto,Portugal.
José
J
Monterroso
D001230:Aspergillus / Q000472:pathogenicity*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002675:Child, Preschool; D004696:Endocarditis / Q000209:etiology / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000209:etiology; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications* / Q000209:etiology; D013771:Tetralogy of Fallot / Q000601:surgery*
congenital heart disease