Intermediate Results of Translocation of the Aortic Valve for Periannular Abscess Due to Active Infective Endocarditis and Introduction of a Sutureless Translocation Technique.
10.4326/jjcvs.22.399
- VernacularTitle:感染性心内膜炎による大動脈弁輪部膿ように対するｔｒａｎｓｌｏｃａｔｉｏｎ法の検討 独自のｓｕｔｕｒｅｌｅｓｓ ｔｒａｎｓｌｏｃａｔｉｏｎ法を中心として
- Author:
Shintaro NEMOTO
;
Masahiro ENDO
;
Hitoshi KOYANAGI
;
Masaya KITAMURA
;
Mitsuhiro HACHIDA
;
Hiroshi NISHIDA
;
Kiyoharu NAKANO
;
Akimasa HASHIMOTO
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(5):399-403
- CountryJapan
- Language:Japanese
-
Abstract:
Periannular abscess and mycotic aneurysm due to infective endocarditis are very difficult conditions to treat surgically. Beginning in 1983, we introduced a translocation technique on 9 such cases. In particular, 7 patients who underwent a new sutureless translocation technique all showed an uneventful course and were discharged. There was no hospital death, but four patients died in the late period (2 heart failure, 1 ventricular tachycardia and 1 thrombotic valve). The sutureless translocation method consists of insertion of a composite valve into the ascending aorta (a ring was detached from an intraluminal ringed graft and a prosthetic valve was sutured to it at that point) and coronary artery bypass grafting to the right and left coronary arteries. Our new technique was simple, required only a short aortic clamping time (mean 173.9min) and there was no significant bleeding. This new translocation technique provides a solution for the treatment of periannular abscess and mycotic aneurysm due to infective endocarditis.
