CASE 3-2010 Dynamic partial obstruction of the tricuspid valve inlet produced by anterior mediastinal aspergillosis invading the right atrium.

摘要

INVASIVE PULMONARY INFECTIONS caused by the opportunistic fungus Aspergillus fumigates are common in immunocompromised patients and are notoriously difficult to treat successfully. Such infections frequently are encountered after solid organ or bone marrow transplantation and may also occur in patients with severe acquired immunodeficiency syndrome or those receiving chronic corticosteroid therapy for other indications. Primary cardiac aspergillosis or the spread of invasive pulmonary A fumigatus to the mediastinum, pericardium, or heart is exceedingly rare in the absence of previous cardiac surgery and carries a very high mortality rate. Long-term antifungal therapy combined with aggressive surgical management appear to afford patients with pulmonary or cardiac A fumigatus with the optimal chance for survival.