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Giovanni Battista Luciani
Gianluca Casali
Francesca Viscardi
Alessandro Mazzucco
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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:2378-2381
© 2005 The Society of Thoracic Surgeons

Case report

Tricuspid Valve Repair in an Infant With Multiple Obstructive Candida Mycetomas

Giovanni Battista Luciani, MD a , * , Gianluca Casali, MD a , Francesca Viscardi, MD a , Simona Marcora, MD b , Maria Antonia Prioli, MD b , Alessandro Mazzucco, MD a

a Division of Cardiac Surgery, University of Verona, Verona, Italy
b Division of Cardiology, University of Verona, Verona, Italy

Accepted for publication July 14, 2004.

* Address correspondence to Dr Luciani, Division of Cardiac Surgery, University of Verona, O.C.M. Piazzale Stefani 1, Verona, 37126 Italy (Email: gbluciani{at}yahoo.com).

Neonatal fungal valve endocarditis is an uncommon and highly lethal disease. The ideal management strategy is still controversial. Current options include antifungal chemotherapy and surgical intervention, the latter being often limited by risks inherent with valve operations in low body weight infants. We present a case of a premature infant with mutliple Candida tricuspid valve mycetomas. Eradication of infection was achieved by combined liposomal amphotericin therapy and complex tricuspid valve repair. Indications, technical aspects, and outcome of treatment in infants are reviewed.






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