Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e48-e50
DOI: 10.1055/s-0043-1770983
Case Report: Cardiac

Surgical Considerations for Treatment of Fungal Homograft Endocarditis in Re-re-re-re-do

Armin Peivandi
1   Department of Cardiothoracic Surgery, University Hospital Münster, Münster, Germany
,
Angelo Dell'Aquila
1   Department of Cardiothoracic Surgery, University Hospital Münster, Münster, Germany
,
Gerrit Kaleschke
2   Department of Cardiology III: Congenital Heart Disease and Valve Disease, University Hospital Münster, Münster, Germany
,
Andreas Rukosujew
1   Department of Cardiothoracic Surgery, University Hospital Münster, Münster, Germany
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Fungal endocarditis is associated with high surgical mortality rates. Advanced expertise is required for surgical treatment of this serious condition. In the present report, we describe the homograft replacement in a beating heart during re-re-re-re-do in a 29-year-old female patient with fungal endocarditis. The previous operations included Fallot correction at the age of 1 year, Contegra graft implantation in the right ventricular outflow tract (RVOT) due to severe pulmonary insufficiency, homograft implantation in pulmonary position due to Contegra endocarditis, and on-pump pericardial defect closure after homograft injury during sternal rewiring following wound infection.

Keywords

fungal endocarditis - congenital heart surgery - redo - homograft


Publication History

Received: 17 February 2023

Accepted: 15 May 2023

Article published online:
03 August 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Gould FK, Denning DW, Elliott TS. et al; Working Party of the British Society for Antimicrobial Chemotherapy. Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the Working Party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother 2012; 67 (02) 269-289
    CrossrefPubMedGoogle Scholar
  • 2 Ellis ME, Al-Abdely H, Sandridge A, Greer W, Ventura W. Fungal endocarditis: evidence in the world literature, 1965-1995. Clin Infect Dis 2001; 32 (01) 50-62
    CrossrefPubMedGoogle Scholar
  • 3 Habib G, Lancellotti P, Antunes MJ. et al; ESC Scientific Document Group. 2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015; 36 (44) 3075-3128
    CrossrefPubMedGoogle Scholar
  • 4 Kuo JA, Hamby T, Munawar MN, Erez E, Tam VKH. Midterm outcomes of right ventricular outflow tract reconstruction using the freestyle xenograft. Congenit Heart Dis 2019; 14 (04) 651-656
    CrossrefPubMedGoogle Scholar