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Recalcitrant Prosthetic Valve Endocarditis Requiring Repeated Reconstruction: Running Out of Options CANADIAN JOURNAL OF CARDIOLOGY Pepe, D. L., Anantha, R. V., Currie, M. E., McCormick, J. K., Mele, T., Chu, M. A. 2014; 30 (12): 1732.e5–8

Abstract

In this report we describe a previously healthy 36-year-old man who presented with septic shock secondary to bacterial endocarditis with multiple cerebral, mesenteric, and peripheral embolic phenomena. He underwent emergent porcine prosthetic valve replacement with aortic annular reconstruction. Subsequently, he developed recalcitrant Candida parapsilosis endocarditis requiring treatment with multiple antifungal agents and 4 repeated complex reconstructions of the aortic root and fibrous trigones over 3 years, before the infection was successfully controlled. This case underscores the significant morbidity associated with fungal endocarditis and importance of an early combined medical and surgical approach.

View details for DOI 10.1016/j.cjca.2014.09.003

View details for Web of Science ID 000345584400048

View details for PubMedID 25475479