Fungal Infective Endocarditis Post Device Occlusion in Perimembranous Ventricular Septal Defect

Recent increase in deployment of trans-catheter devices such as septal or ductal occluding coils and has been a possible risk factor for infective endocarditis, predominantly the initial post period before endothelialization ensued. Though long-term study Atrial Septal Defect (ASD) closure revealed no cases Infective Endocarditis, some case reports endocarditis device ASD, VSD Patent ductus arteriosus(PDA) advocate that residual defect after occlusion may be Endocarditis. We herein describe 9-month-old female patient who underwent peri-membranous ventricular (VSD) developed fungal early which was confirmed on blood culture. Despite treatment with appropriate antifungal per sensitivity, clinical condition deteriorated it decided to manage her surgical explanation defect.