Aspergillus endocarditis of the mitral valve in a lung-transplant patient.

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Tex Heart Inst J. 2007;34(1):95-7.

HeartZine - London,UK

Aspergillus endocarditis of the mitral valve in a lung-transplant

patient.

Saxena P, e B, Dunning J.

Departments of Cardiac Surgery (Drs. Dunning and Saxena) and

Anatomical Pathology (Dr. e), The Prince Hospital,

Chermside, Queensland 4032, Australia.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?

cmd=Retrieve & db=PubMed & list_uids=17420802 & dopt=Abstract

A 57-year-old man underwent bilateral lung transplantation at our

hospital. On histopathology, aspergillomas were identified in the

upper lobes of the explanted lungs. After being treated and

discharged from the hospital, he returned 4 months later with

ischemic chest pain, which was due to a myocardial infarction

complicated by cardiogenic shock. He also had a large vegetation on

the anterior mitral leaflet. Herein, we describe the patient's

symptoms, complications, treatment, and recovery. To the best of our

knowledge, ours is only the 2nd report of a patient who developed

Aspergillus endocarditis after lung transplantation and the 1st such

patient to have undergone successful mitral valve replacement.