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European Journal of Echocardiography Advance Access published online on July 29, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen204
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Late occurrence of fatal aortitis: a complication of Aspergillus endocarditis following coronary artery bypass graft surgery

Maryam Esmaeilzadeh1,*, Mozhgan Parsaee1, Mohammad Mehdi Peighambari2, Anita Sadeghpour1, Amir J. Khamooshi3, S. Saeid Hosseini3 and Kambiz Mozaffari4

1 Department of Echocardiography, Shaheed Rajaie Cardiovascular Medical and Research Center, Vali-Asr Avenue, Adjacent Mellat Park, PO Box 1996911151, Tehran, Iran
2 Department of General Cardiology, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
3 Department of Cardiac Surgery, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
4 Department of Pathology, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran

Received 11 March 2008; accepted after revision 5 July 2008.

* Corresponding author. Tel: +98 2123921; fax: +98 2122055594. E-mail address: meszadeh{at}rhc.ac.ir or m_eszadeh{at}yahoo.com


  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 occurs post-operative after cardiac valve surgery. This case is illustrative of a 49-year-old man with previous history of coronary artery bypass grafting presenting with aortic valve endocarditis which was diagnosed as Aspergillus endocarditis. Unfortunately, despite medical and surgical therapy, progressive fatal aortic invasion occurred.

Keywords: Aspergillosis; Coronary artery bypass grafting; Endocarditis; Complication


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