Right ventricular inflow obstruction related to late Candida albicans infection of implantable cardioverter-defibrillator leads

Abstract

Echocardiogram transoesophageal, CXR and positron emission tomography–computed tomography scan images showing a fungal endocarditis mass deter- mining right ventricle inflow obstruction in a 74-year-old woman with a history of fever, right ventricle failure, multiple PE and cultures were positive for Candida albicans. Intraoperative view. The mass obstructed the right ventricular inflow, attached 3 leads with silicone–polyurethane copolymer (OptimTM) and was eradicated with right atrial surgical approach.