Fungal endocarditis/aortitis is an uncommon yet emerging entity
accounting for 2% to 4% of all cases of infective endocarditis and
continues to be associated with a poor prognosis. We present here the
first case of polyethylene-terephthalate (PETE) graft aortitis caused by
A. Niger, a rare fungal agent responsible for the Aspergillus aortitis.
Early diagnosis with frequent transoesophageal echocardiography (TEE)
and a prompt surgical intervention coupled with optimal antifungal
therapy are still the only option to reduce the exceedingly high
mortality and morbidity.