Esmaeilzadeh Maryam, Parsaee Mozhgan, Peighambari Mohammad Mehdi, Sadeghpour Anita, Khamooshi Amir J, Hosseini S Saeid, Mozaffari Kambiz
Department of Echocardiography, Shaheed Rajaie Cardiovascular Medical and Research Center, Vali-Asr Avenue, Adjacent Mellat Park, PO Box 1996911151, Tehran, Iran.
Eur J Echocardiogr. 2009 Jan;10(1):165-7. doi: 10.1093/ejechocard/jen204. Epub 2008 Jul 29.
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.
引起心内膜炎最常见的真菌是念珠菌，其次是曲霉菌。曲霉菌性心内膜炎可发生于原发性或人工心脏瓣膜，通常在心脏瓣膜手术后出现。该病例为一名49岁男性，既往有冠状动脉搭桥术史，现出现主动脉瓣心内膜炎，诊断为曲霉菌性心内膜炎。不幸的是，尽管进行了药物和手术治疗，但仍发生了进行性致命的主动脉侵袭。
