Endocarditis of a prosthetic valve is known but rare occurrence. Fungal endocarditis extremely rare. However, in the COVID-19 pandemic, there has been increasing recognition fungal or yeast-related infections, often due to combination immune paresis, concurrent use corticosteroids underlying chronic conditions such as diabetes neoplasms. We present patient with fulminating, invasive aspergillos...

Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Eur Heart J 2009;30:2369–413. [4] Grinda JM, Mainardi JL, D’Attellis N, Bricourt MO, Berrebi A, Fabiani JN et al. Cryopreserved aortic viable homograft for active aortic endocarditis. Ann Thorac Surg 2005;79:767–71. [5] Schafers HJ, Bierbach B, Aicher D. A new approach to the assessment of aortic cus...

Mitral Valve Aneurysm (MVA) is rarely reported and occurs most in association with infective endocarditis of the aortic valve. In our case, the 46-yr-old Chinese man was referred to our hospital with dyspnea and orthopnea. Transesophageal echocardiography during operation revealed a localized, thin-walled saccular structure in the anterior leaflet that bulged into the left atrium, and severe mi...

Cerebral ischemic processes associated with infective endocarditis caused by Streptococcus bovis are rare; only 2 cases having been reported. Here we report a case of a 50-year-old man with S. bovis endocarditis who presented signs of frontal, parietal and occipital lobe cerebral ischemia. This is the first case reported in which the presence of hemianopsia preceded the endocarditis diagnosis. ...

surgery or autopsy. Unusual echocardiographic findings early in the course of the disease in a patient we studied recently led us to suspect the diagnosis of a ruptured left coronary cusp. When these were noted to correlate with clinical deterioration, immediate cardiac catheterization and aortic valve replacement was undertaken. The echocardiographic features of aortic valve endocarditis have ...

Aortic root dilatation is rare in children, and is often secondary to Marfan syndrome (MFS). We experienced a case of a three-year-old boy (92 cm, 12 kg) with MFS presenting with progressive dilatation of aortic root. We electively performed a valve-sparing aortic root replacement using a 24-mm Gelweave Valsalva graft. Although the patient required a mitral valve repair due to infective endocar...

A 59-year-old man treated with pneumococcal meningitis 4 months ago was hospitalized for acute heart failure and performed aortic valve replacement by rupture of aortic valve. The frequent association of pneumococcal meningitis and endocarditis is known as Austrian syndrome. Though Austrian syndrome is a clinically rare disease, the evolution of pneumococcal endocarditis is very aggressive and ...

BACKGROUND Up to 20% of all infective endocarditis are blood culture-negative and therefore a diagnostic challenge. Here we present the case of an infective endocarditis due to Helicobacter cinaedi finally diagnosed using different molecular methods. This highly fastidious gram-negative spiral rod is increasingly recognized as a human pathogen, above all in immunocompromised patients. So far H....

The anterior leaflet of the mitral valve is partly continuous through a fibrous membrane with the aortic valve. Lying immediately subjacent to the aortic valve, the mitral valve and its chordae may become secondarily infected in instances of primary aortic valvular bacterial endocarditis. Destructive changes of the anterior mitral leaflet or mitral chordae may lead to mitral insufficiency. The ...

A 62-year-old man with a history of hypertension complained of cough and dyspnea and was admitted to a family doctor. He was transferred to our hospital for further investigation and therapy, a result of his doctor's suspicions of aortic regurgitation (AR) with infective endocarditis. During the operation, acute AR was found to be caused by dehiscence of the aortic valve commissures, and the va...