title: [A modified translocation technique for recurrent periannular endocarditis after aortic valve replacement].
abstract: We reported a patient of 46-year-old man, who had undergone reinforced aortic valve replacement using a composite Björk-Shiley prosthesis for infective endocarditis on April 13, 1988. Because of recurrent periannular endocarditis and periprosthetic dehiscence, reoperation was undertaken eighteen months after the initial operation. Following debridement, a composite Dacron vascular prosthesis with a St. Jude Medical valve and two saphenous vein grafts were transposed in the ascending aorta. The operative procedures were entirely smooth. A modified Danielson's technique may be adequate for recurrent periannular endocarditis which make orthotopic re-replacement impossible in most cases.
authors.affiliation: Second Department of Surgery, Niigata University School of Medicine, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Moro
authors.forename: S
authors.initials: S
authors.lastname: Tsuchida
authors.forename: S
authors.initials: S
authors.lastname: Kayama
authors.forename: M
authors.initials: M
authors.lastname: Ueno
authors.forename: J
authors.initials: J
authors.lastname: Hayashi
authors.forename: S
authors.initials: S
authors.lastname: Eguchi
mesh_terms: D001021:Aortic Valve; D001807:Blood Vessel Prosthesis; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation