Candida Infection as a Complication of Heart Surgery

Abstract
Bacterial endocarditis following cardiac surgery is a well-known clinical entity. Recent reports indicate a number of Candida endocarditis cases have been seen as a complication of cardiac surgery. The literature is reviewed, and 2 additional cases of Candida endocarditis are reported. One patient developed a mycotic aneurysm of the aorta following open operation for correction of aortic stenosis. This patient had widespread mycotic emboli and died suddenly following rupture of the mycotic aneurysm of the aorta. The second patient developed a Candida blood stream infection following repair of a ventricular septal defect. This patient recovered after treatment with amphotericin-B. Possible portals of entry of the infection are cardiac catheterization, cardiopulmonary by-pass, and prolonged intravenous fluids.