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Intracardiac fungal ball in an infant causing right ventricular inflow obstruction secondary to tricuspid valve fungal endocarditis: management options

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We report a 50-day-old infant with infective endocarditis and a large fungal vegetation on the tricuspid valve (TV) obstructing the right ventricular inflow. Emergency excision of the vegetation and TV reconstruction failed. Because of failure to wean off cardiopulmonary bypass support, a rescue bidirectional superior cavopulmonary anastomosis (BDG) was performed. Various management options with appropriateness and efficacy of this procedure are discussed.

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References

  1. Millar BC, Jugo J, Moore JE. Fungal endocarditis in neonates and children. Pediatr Cardiol. 2005;26:517–36.

    Article  CAS  PubMed  Google Scholar 

  2. Ferrieri P, Gewitz MH, Gerber MA, et al. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the American Heart Association Council on Cardiovascular Disease in the Young. Unique features of infective endocarditis in childhood. Circulation. 2002;105:2115–26.

  3. Richardson JV, Karp RB, Kirklin JW, Dismukes WE. Treatment of infective endocarditis: a 10-year comparative analysis. Circulation. 1978;58:589–97.

    Article  CAS  PubMed  Google Scholar 

  4. Luciani GB, Casali G, Viscardi F, Marcora S, Prioli MA, Mazzucco A. Tricuspid valve repair in an infant with multiple obstructive Candida mycetomas. Ann Thorac Surg. 2005;80:2378–81.

  5. Horvath P, Hucin B, Slavik Z, et al. Operative treatment of infective endocarditis in children. Eur J Cardiothorac Surg. 1989;3:26–32.

  6. Gerdisch MW, Boyd WD, Harlan JL, et al. Early experience treating tricuspid valve endocarditis with a novel extracellular matrix cylinder reconstruction. J Thorac Cardiovasc Surg. 2014;148(6):3042–8.

    Article  PubMed  Google Scholar 

  7. Starnes VA, Pitlick PT, Bernstein D, Griffin M, Choy M, Shumway, NE. Ebstein’s anomaly appearing in the neonate (a new surgical approach). J Thorac Cardiovasc Surg. 1991;101:1082–7.

  8. Glenn WWL. Superior vena cava–pulmonary artery shunt. Ann Thorac Surg. 1989;47:62–4.

    Article  CAS  PubMed  Google Scholar 

  9. Reddy VM, Liddicoat JR, Hanley FL. Primary bidirectional superior cavopulmonary shunt in infants between 1 and 4 months of age. Ann Thorac Surg. 1995;59:1120–5.

    Article  CAS  PubMed  Google Scholar 

  10. Warrier GG, Dharan BS, Koshy S, Kumar S, Krishnanaik S, Rao SG. Bidirectional Glenn operation in infancy. Indian J Thorac Cardiovasc Surg. 2004;20:159–63.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New Delhi, 110029, India

    Jitin Narula & Parag Gharde

  2. Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India

    Manvendra Singh, Palleti Rajashekar, Devagourou Velayoudham & Sachin Talwar

Authors
  1. Jitin Narula
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  2. Parag Gharde
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  3. Manvendra Singh
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  4. Palleti Rajashekar
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  5. Devagourou Velayoudham
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  6. Sachin Talwar
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Corresponding author

Correspondence to Sachin Talwar.

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The authors declare that they have no conflict of interest.

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The study did not receive any funding.

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All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from parents of the patient in this report.

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Narula, J., Gharde, P., Singh, M. et al. Intracardiac fungal ball in an infant causing right ventricular inflow obstruction secondary to tricuspid valve fungal endocarditis: management options. Indian J Thorac Cardiovasc Surg 33, 351–354 (2017). https://doi.org/10.1007/s12055-017-0547-5

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  • DOI: https://doi.org/10.1007/s12055-017-0547-5

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