Rapid progressive idiopathic pulmonary arterial hypertension

Our patient suffered from 2 rare disorders: idiopathic arterial pulmonary hypertension (IPAH) and fungal mural endocarditis. Decompensation of IPAH is a life threatening condition. We report fungi endocarditis as a rare, reversible cause of exacerbation of IPAH. We discuss management of decompensated right ventricular failure secondary and nonvalvular mural endocarditis