Potentially fatal tricuspid valve aspergilloma detected after laparoscopic abdominal surgery

Fungal endocarditis accounts for 1.3-6% of all cases of infective endocarditis. The most common causative organism is Candida, followed by Aspergillus and other mould fungi. Aspergillus endocarditis is usually associated with high morbidity and mortality. Establishing a definitive and timely diagnos...

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Bibliographic Details
Published inSouthern African journal of anaesthesia and analgesia Vol. 17; no. 3; pp. 266 - 268
Main Authors Singla, MK, Shrivastava, A, Mukherjee, KC, Sodhi, K
Format Journal Article
LanguageEnglish
Published Taylor & Francis 01.05.2011
Subjects
aspergilloma
Infective endocarditis
tricuspid value
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Summary:Fungal endocarditis accounts for 1.3-6% of all cases of infective endocarditis. The most common causative organism is Candida, followed by Aspergillus and other mould fungi. Aspergillus endocarditis is usually associated with high morbidity and mortality. Establishing a definitive and timely diagnosis remains difficult and there are many reports of undetected aspergillomas leading to fatalities in the perioperative period. We present a case report of preoperatively undiagnosed large mobile tricuspid valve aspergilloma obstructing the right ventricular inlet, diagnosed incidentally on the second postoperative day after laparoscopic pancreatic abscess drainage. The patient was successfully managed with emergency open-heart surgery and systemic antifungal agents in the postoperative period.
ISSN:2220-1181
2220-1173
DOI:10.1080/22201173.2011.10872789