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Case report
peer-reviewed

Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis



Abstract

A 74-year-old male presented to the emergency department 46 days after undergoing an aortic valve replacement. He presented with nonspecific symptoms developed over the previous 15 days, with a new onset of a systolic panfocal murmur. Echocardiography revealed a great vegetation measuring 15 mm by 23 mm causing a severe obstruction of the bioprosthesis. The patient underwent an emergency surgical procedure due to his hemodynamic unsteadiness. During the procedure, we noted an obstruction of the left ventricle outflow tract with pseudoaneurysm of the aortomitral continuity. We debrided the aortic annulus, reconstructed the aortomitral continuity, and replaced the prosthesis, but the patient died. We present a rare fulminant case of Aspergillus endocarditis.



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Case report
peer-reviewed

Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis


Author Information

Christian Ortega-Loubon Corresponding Author

Cardiac Surgery, Clinic University Hospital of Valladolid

Manuel Fernández-Molina

Cardiac Deparment, Clinic University Hospital of Valladolid

Javier Tobar-Ruiz

Cardiology, Clinic University Hospital of Valladolid

Nuria Arce-Ramos

Cardiac Department, Clinic University Hospital of Valladolid

Enrique Fulquet-Carreras

Cardiac Department, Clinic University Hospital of Valladolid


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: The authors have declared that no conflicts of interest exist.


Case report
peer-reviewed

Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis


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Case report
peer-reviewed

Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis

  • Author Information
    Christian Ortega-Loubon Corresponding Author

    Cardiac Surgery, Clinic University Hospital of Valladolid

    Manuel Fernández-Molina

    Cardiac Deparment, Clinic University Hospital of Valladolid

    Javier Tobar-Ruiz

    Cardiology, Clinic University Hospital of Valladolid

    Nuria Arce-Ramos

    Cardiac Department, Clinic University Hospital of Valladolid

    Enrique Fulquet-Carreras

    Cardiac Department, Clinic University Hospital of Valladolid


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: The authors have declared that no conflicts of interest exist.

    Acknowledgements


    Article Information

    Published: September 04, 2017

    DOI

    10.7759/cureus.1652

    Cite this article as:

    Ortega-loubon C, Fernández-molina M, Tobar-ruiz J, et al. (September 04, 2017) Rapid Fulminant Case of Aspergillus Prosthetic Valve Endocarditis. Cureus 9(9): e1652. doi:10.7759/cureus.1652

    Publication history

    Received by Cureus: August 16, 2017
    Peer review began: August 23, 2017
    Peer review concluded: August 30, 2017
    Published: September 04, 2017

    Copyright

    © Copyright 2017
    Ortega-Loubon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 74-year-old male presented to the emergency department 46 days after undergoing an aortic valve replacement. He presented with nonspecific symptoms developed over the previous 15 days, with a new onset of a systolic panfocal murmur. Echocardiography revealed a great vegetation measuring 15 mm by 23 mm causing a severe obstruction of the bioprosthesis. The patient underwent an emergency surgical procedure due to his hemodynamic unsteadiness. During the procedure, we noted an obstruction of the left ventricle outflow tract with pseudoaneurysm of the aortomitral continuity. We debrided the aortic annulus, reconstructed the aortomitral continuity, and replaced the prosthesis, but the patient died. We present a rare fulminant case of Aspergillus endocarditis.



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Christian Ortega-Loubon, M.D., Resident Physician

Cardiac Surgery, Clinic University Hospital of Valladolid

For correspondence:
christlord26@gmail.com

Manuel Fernández-Molina

Cardiac Deparment, Clinic University Hospital of Valladolid

Javier Tobar-Ruiz

Cardiology, Clinic University Hospital of Valladolid

Nuria Arce-Ramos

Cardiac Department, Clinic University Hospital of Valladolid

Enrique Fulquet-Carreras

Cardiac Department, Clinic University Hospital of Valladolid

Christian Ortega-Loubon, M.D., Resident Physician

Cardiac Surgery, Clinic University Hospital of Valladolid

For correspondence:
christlord26@gmail.com

Manuel Fernández-Molina

Cardiac Deparment, Clinic University Hospital of Valladolid

Javier Tobar-Ruiz

Cardiology, Clinic University Hospital of Valladolid

Nuria Arce-Ramos

Cardiac Department, Clinic University Hospital of Valladolid

Enrique Fulquet-Carreras

Cardiac Department, Clinic University Hospital of Valladolid