Aortic Root Replacement Using Aortic Homograft in Acute Bacterial Endocarditis: one case report.
- Author:
Chang Young LIM
1
;
Hyeon Jae LEE
;
Ju Ee KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pundang Cha General Hospital, Pochon Jung Moon Medical College, Korea.
- Publication Type:Case Report
- Keywords:
Transplantation, autologous;
Endocarditis, bacterial;
Aortic root replacement
- MeSH:
Allografts*;
Anti-Bacterial Agents;
Aortic Valve;
Aortic Valve Insufficiency;
Echocardiography;
Endocarditis, Bacterial*;
Heart Failure;
Hemodynamics;
Humans;
Male;
Middle Aged;
Transplantation, Autologous
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(8):819-822
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic valve replacement with aortic allograft has been considered a treatment of choice for aortic valve disease secondary to bacterial endocarditis because of its good hemodynamic performance and higher resistance to infection. The aortic root replacement technique might be superior to the subcoronary allograft implantation technique with regard to aortic regurgitation. A 46 years old male patient had acute aortic regurgitation with progressing heart failure secondary to acute bacterial endocarditis. The patient underwent emergent aortic root replacement using 20 mm aortic allograft. At operation, right coronary cusp perforation and heavy calcification of commissure between right and left coronary cusp were observed. The patient recovered well and postoperative echocardiography demonstrated no aortic regurgitation. Inflammatory signs were subsided after 8 weeks of antibiotics therapy. Medically uncontrolled acute bacterial endocarditis was treated successfully by aortic root replacement using aortic homograft.
