Boden W E, Fisher A, Medeiros A, Benham I, McEnany M T
J Cardiovasc Surg (Torino). 1983 Mar-Apr;24(2):164-6.
Fungal prosthetic endocarditis continues to be a lethal complication of cardiac valve replacement. We describe a patient with culture-proved Cryptococcal endocarditis and myocarditis whose non-regurgitant xenograft aortic prosthesis was successfully replaced urgently upon the occurrence of new 1st degree A-V block in the third postoperative week. Operative intervention, including vigorous debridement of the aortic root, is effective in postoperative prosthetic fungal infections involving the myocardium. The patient described herein is now infection-free, with a non-regurgitant valve, one and one-half years following operation.
真菌性人工瓣膜心内膜炎仍然是心脏瓣膜置换术后的一种致命并发症。我们描述了一名经培养证实患有隐球菌性心内膜炎和心肌炎的患者，其无反流的异种移植主动脉人工瓣膜在术后第三周出现新的一度房室传导阻滞时被紧急成功置换。手术干预，包括对主动脉根部进行积极清创，对术后累及心肌的人工瓣膜真菌感染有效。本文所述患者在手术后一年半，目前没有感染，瓣膜无反流。
