Aspergillus aortitis following replacement of mitral valve

승모판대치술후 발생한 Aspergillus 대동맥염의 치험 1예

  • Chang, Myoung (Department of Thoracic and Cardiovascular Surgery, Yonsei University, College of Medicine) ;
  • Kim, Kwang-Ho (Department of Thoracic and Cardiovascular Surgery, Yonsei University, College of Medicine) ;
  • Hong, Seong-Nok (Department of Thoracic and Cardiovascular Surgery, Yonsei University, College of Medicine) ;
  • Lee, Jong-Wha (Department of Cardiology, Yonsei University, College of Medicine) ;
  • Lee, Woong-Ku (Department of Cardiology, Yonsei University, College of Medicine) ;
  • Koh, Young-Hye (Department of Pathology, Yonsei University, College of Medicine) ;
  • Park, Chan-Il (Department of Pathology, Yonsei University, College of Medicine)
  • 장명 (연세대학교 의과대학 흉부외과학교실) ;
  • 김광호 (연세대학교 의과대학 흉부외과학교실) ;
  • 홍승록 (연세대학교 의과대학 흉부외과학교실) ;
  • 이종화 (연세대학교 의과대학 심장내과학교실) ;
  • 이웅구 (연세대학교 의과대학 심장내과학교실) ;
  • 고영혜 (연세대학교 의과대학 병리학교실) ;
  • 박찬일 (연세대학교 의과대학 병리학교실)
  • Published : 1981.09.01

Abstract

Bacterial endocarditis is a well-recognized complication of prosthetic valve replacement. Postoperative fungal endocarditis of aortitis has been reported with increasing frequency. Aspergillus endocarditis or aortitis following open heart surgery has been reported in several patients. The difficulty in the diagnosis of this type of infection, the problems of therapy of prosthetic valve endocarditis0 and the relative ineffectiveness of antifungal agents account for the high mortality. Recently, we have experienced a patient with aspergillus aortitis after replacement of mitral valve. The diagnosis was finally established by histotogical examination of emboli removed from the femoral artery. The patient died after second open heart surgery for replacement of ascending aorta.

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