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Updated: Jul 10, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
An unusual right atrial mass in a two-month old infant
Ramin Baghaei1, Mohammad Yousef Aarabi Moghaddam, Mohsen Shahidi
1Department of Cardiac Surgery, Shahid Rajaee Cardiovascular Medical Center, Tehran, Iran. baghaei@doctor.com
Insights
A rare cardiac mass in a 2-month-old infant was diagnosed as Candida endocarditis. Echocardiography and pathological studies confirmed the diagnosis of this fungal infection affecting the heart.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Medical Mycology
Background:
- Cardiac masses in infants are uncommon and require thorough investigation.
- Fungal endocarditis is a rare but serious condition, particularly in neonates and young children.
Observation:
- A 2-month-old female presented with a cardiac murmur detected during physical examination.
- Echocardiography revealed a mass within the right atrium of the heart.
Findings:
- Pathological examination of the cardiac mass confirmed it as a consequence of Candida endocarditis.
- Blood cultures were positive for Candida, supporting the diagnosis of systemic fungal infection.
Implications:
- This case highlights the importance of considering fungal endocarditis in the differential diagnosis of cardiac masses in infants.
- Early diagnosis and appropriate antifungal treatment are crucial for managing Candida endocarditis in pediatric patients.
- Further research into risk factors and optimal management strategies for fungal endocarditis in neonates is warranted.
Abstract:
We report a 2-month old female with a rare cardiac mass. She was evaluated echocardiographically after physical examination revealed a low grade cardiac murmur. The mass, located in right atrium, was shown to be the consequence of candida endocarditis by means of pathological study and blood culture.
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