Surgical Treatment of Prosthetic Valve Endocarditis after Reconstruction of the Intervalvular Fibrous Trigon: A case report.
- Author:
Seon Uoo CHOI
1
;
Wook Sung KIM
;
Ho Ki MIN
;
Min Woong KANG
;
Young Tak LEE
;
Pyo Won PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. wooksungkim@yahoo.com
- Publication Type:Case Report
- Keywords:
Heart valve prosthesis;
Endocarditis;
Reoperation
- MeSH:
Abscess;
Echocardiography;
Emergencies;
Endocarditis;
Heart Failure;
Heart Valve Prosthesis;
Humans;
Male;
Mitral Valve;
Reoperation;
Skeleton
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(6):755-758
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report here on a case of performing a redo-operation for a 65-years-old male patient who had prosthetic endocarditis after reconstruction of the fibrous skeleton due to infective endocarditis 8 years earlier. An aortic annular abscess with a 1 cm sized subvalvular abscess and mobile mitral valve vegetation with destruction of the fibrous skeleton was shown on the preoperative echocardiography. An emergency operation was performed due to heart failure. Reconstruction of both the aortic and mitral annuli and the fibrous skeleton was done by using two separate bovine pericardial patches and then mechanical valves were implanted. The postoperative echocardiography shows no paravalvular leakage. The patient has been followed up with no symptoms.
