title: Aortoventricular Dissociation and Refractory Fungal Endocarditis Caused by a Rare Pathogen Lichtheimia: A Surgical and Medical Management Strategy.
abstract: We report a rare case of prosthetic valve fungal endocarditis caused by Lichtheimia, a subspecies of the order Mucorales. The patient experienced complicated prosthetic valve endocarditis less than 2 months after uneventful coronary artery bypass grafting (CABG) and 2 aortic valve replacements. Ultimately surgical management required aortic root replacement and lifelong antimicrobial agents. We believe this is the first case of fungal endocarditis caused by Lichtheimia.
authors.affiliation: Albany Cardiothoracic Surgeons, PC, St. Peters Hospital, Albany, New York. Electronic address: cterrien3@gmail.com.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Terrien
authors.affiliation: Albany Cardiothoracic Surgeons, PC, St. Peters Hospital, Albany, New York.
authors.forename: Niloo M
authors.initials: NM
authors.lastname: Edwards
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001705:Bioprosthesis / Q000009:adverse effects; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D014057:Tomography, X-Ray Computed
chemical_list: D000935:Antifungal Agents