Excision of the tricuspid valve in a baby with Candida endocarditis

Frederik A du Plessis; Willem A Helbing; Ad J J C Bogers

doi:10.1017/S104795110700056X

Excision of the tricuspid valve in a baby with Candida endocarditis

Cardiol Young. 2007 Oct;17(5):545-7. doi: 10.1017/S104795110700056X. Epub 2007 Jun 1.

Authors

Frederik A du Plessis¹, Willem A Helbing, Ad J J C Bogers

Affiliation

¹ Department of Paediatric Cardiology, Erasmus Medical Centre, Sophia Children's Hospital, Rotterdam, The Netherlands. f.duplessis@erasmusmc.nl

PMID: 17540053
DOI: 10.1017/S104795110700056X

Abstract

We report on the management of Candida endocarditis in a 5-month old infant. The orifice of the tricuspid valve was totally obstructed, and the tension apparatus of the valve destroyed. Excision of the valve led to severe failure of the right heart. The combined use of anti-failure treatment, and reduction of right ventricular afterload with oxygen, nitric oxide and sildenafil, proved successful.

Publication types

Case Reports

MeSH terms

Antifungal Agents / therapeutic use
Candidiasis / surgery*
Endocarditis / surgery*
Female
Fluconazole / therapeutic use
Heart Failure / etiology
Humans
Infant
Nitric Oxide / therapeutic use
Oxygen Inhalation Therapy
Piperazines / therapeutic use
Postoperative Complications
Purines / therapeutic use
Sildenafil Citrate
Sulfones / therapeutic use
Tricuspid Valve / surgery*
Vasodilator Agents / therapeutic use

Substances

Antifungal Agents
Piperazines
Purines
Sulfones
Vasodilator Agents
Nitric Oxide
Fluconazole
Sildenafil Citrate