Fatal aortitis: a complication of aspergillus endocarditis following coronary artery bypass graft surgery

Maryam  Esmaeilzadeh; MM Peighambari; M  Parsaee; AJ  Khamooshi; SS  Hosseini

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Fatal aortitis: a complication of aspergillus endocarditis following coronary artery bypass graft surgery

Author(s):

Maryam Esmaeilzadeh^1,*,

MM Peighambari¹,

M Parsaee¹,

AJ Khamooshi¹,

SS Hosseini¹

1Shaheed Rajaei Cardiovascular Medical and Research Center, Tehran, Iran

International Cardiovascular Research Journal:Vol. 1, issue 3; e79526

Published online:Sep 30, 2007

Article type:Case Report

Received:May 22, 2018

Accepted:Sep 30, 2007

How to Cite:Maryam EsmaeilzadehMM PeighambariM ParsaeeAJ KhamooshiSS HosseiniFatal aortitis: a complication of aspergillus endocarditis following coronary artery bypass graft surgery.Int Cardiovasc Res J.1(3):e79526.

Abstract

The most common fungal organism to cause endocarditis is Candida which is followed by Aspergillus. Aspergillus
endocarditis can occur in either the native or prosthetic heart valves, usually occurring post operatively after
cardiac surgery on implanted valves. The usual route of infection for invasive aspergillosis is through inhalation
of organism into the lungs. Diagnosis is difficult because blood culture usually remains negative even with extensive
disease. Long term survival is limited even with surgical intervention.
Herein, we present a 49-year-old man with previous history of coronary artery bypass graft and aortic valve
endocarditis which was diagnosed as Aspergillus endocarditis after the valve surgery. Unfortunately the patient
died because of late occurrence of progressive aortic invasion caused by Candida and Enterococci.

Keywords

Aspergillosis

Coronary artery bypass graft

Endocarditis

Complication

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