Mitral valve replacement in a 3.9-kg infant with fungal endocarditis: A case report
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by
Zornitsa Vassileva,
Ventsislav Boshnakov,
Anna Kaneva,
Stojan Lazarov
2022 Volume 30, p448-452
Abstract
A three-month-old female infant with a structurally normal heart was diagnosed with fungal endocarditis of the mitral valve with cerebral embolism. After antifungal therapy and a valve-sparing operation with complete removal of the fungal vegetations, a relapse with complete destruction of the valve leaflets and severe mitral regurgitation with decompensated heart failure occurred three months later. A second operation with successful mitral valve replacement was performed. Non-compliance with the anticoagulant treatment with vitamin K antagonist led to thrombosis of the mitral valve prosthesis one year later, and the child died from acute pulmonary edema.
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