Abstract
Fungal endocarditis is associated with high surgical mortality rates. Advanced expertise
is required for surgical treatment of this serious condition. In the present report,
we describe the homograft replacement in a beating heart during re-re-re-re-do in
a 29-year-old female patient with fungal endocarditis. The previous operations included
Fallot correction at the age of 1 year, Contegra graft implantation in the right ventricular
outflow tract (RVOT) due to severe pulmonary insufficiency, homograft implantation
in pulmonary position due to Contegra endocarditis, and on-pump pericardial defect
closure after homograft injury during sternal rewiring following wound infection.
Keywords
fungal endocarditis - congenital heart surgery - redo - homograft
