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Excision of the tricuspid valve in a baby with Candida endocarditis

Published online by Cambridge University Press:  01 October 2007

Frederik A. du Plessis ,
Willem A. Helbing  and
Ad J.J.C. Bogers
Frederik A. du Plessis*
Affiliation:
Departments of Paediatric Cardiology and Cardiothoracic Surgery, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands
Willem A. Helbing
Affiliation:
Departments of Paediatric Cardiology and Cardiothoracic Surgery, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands
Ad J.J.C. Bogers
Affiliation:
Departments of Paediatric Cardiology and Cardiothoracic Surgery, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, The Netherlands
*
Correspondence to: Frederik A. du Plessis, Paediatric Cardiologist, Department of Paediatric Cardiology, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, PO Box 2060, SP 2.469, 3000 CB Rotterdam, The Netherlands. Tel: +31 10 463 6264; Fax: +31 10 463 6801; E-mail: f.duplessis@erasmusmc.nl
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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.

Keywords

Neonatalsurgerypulmonary hypertensionsildenafil
Type
Brief Report
Information
Cardiology in the Young , Volume 17 , Issue 5 , October 2007 , pp. 545 - 547
Copyright
Copyright © Cambridge University Press 2007

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References

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