[A modified translocation technique for recurrent periannular endocarditis after aortic valve replacement].
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.
Moro
H
H
Second Department of Surgery, Niigata University School of Medicine, Japan.
Tsuchida
S
S
Kayama
S
S
Ueno
M
M
Hayashi
J
J
Eguchi
S
S
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