Potentially fatal tricuspid valve aspergilloma detected after laparoscopic abdominal surgery

Authors

  • Manender Kumar Singla S.P.S. Apollo Hospitals
  • Anupam Shrivastva S.P.S. Apollo Hospitals
  • Kisore C Mukherjee S.P.S. Apollo Hospitals
  • Kanwalpreet Sodhi S.P.S. Apollo Hospitals

Keywords:

Infective endocarditis, aspergilloma, tricuspid valve

Abstract

Fungal endocarditis accounts for 1.3-6% of all cases of infective endocarditis. The most common causative organism is Candida, followed by Aspergillus and other mould fungi. Aspergillus endocarditis is usually associated with high morbidity and mortality. Establishing a definitive and timely diagnosis remains difficult and there are many reports of undetected aspergillomas leading to fatalities in the perioperative period. We present a case report of preoperatively undiagnosed large mobile tricuspid valve aspergilloma obstructing the right ventricular inlet, diagnosed incidentally on the second postoperative day after laparoscopic pancreatic abscess drainage. The patient was successfully managed with emergency open-heart surgery and systemic antifungal agents in the postoperative period.

Author Biographies

Manender Kumar Singla, S.P.S. Apollo Hospitals

Associate Consultant Department of Cardiac Anaesthesia S.P.S. Apollo Hospitals Ludhiana

Anupam Shrivastva, S.P.S. Apollo Hospitals

MD Senior Consultant Department of Cardiac Anaesthesia S.P.S. Apollo Hospitals Ludhiana

Kisore C Mukherjee, S.P.S. Apollo Hospitals

MCh Senior Consultant Department of Cardiac Surgery S.P.S. Apollo Hospitals Ludhiana

Kanwalpreet Sodhi, S.P.S. Apollo Hospitals

DA, DNB Associate Consultant Department of Critical Care S.P.S. Apollo Hospitals Ludhiana

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Published

2011-04-01

Issue

Section

Case Studies