Late Reoperation Following Ligation of the Left Main Coronary Artery in a Patient with Infective Endocarditis
10.5090/kjtcs.2019.52.2.109
- Author:
Dong Woog YOON
1
;
Sang On LEE
;
Pyo Won PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. pwpark@skku.edu
- Publication Type:Case Report
- Keywords:
Endocarditis;
Coronary artery bypass;
Reoperation
- MeSH:
Allografts;
Coronary Artery Bypass;
Coronary Vessels;
Drainage;
Endocarditis;
Female;
Heart Arrest, Induced;
Humans;
Hypothermia;
Ligation;
Mammary Arteries;
Reoperation;
Tricuspid Valve
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(2):109-111
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.
