Aortic root replacement for complicated bacterial endocarditis in an infant.
We report the case of a 10-week-old girl with streptococcal aortic valve endocarditis that was resistant to medical management and complicated by aortic insufficiency, congestive heart failure, annular abscess, and a large periaortic pseudoaneurysm. She underwent successful aortic valve and root replacement (with coronary artery reimplantation) utilizing an aortic valve homograft (allograft). The patient recovered completely and was discharged 3 weeks postoperatively. To our knowledge, this is the youngest patient to receive an aortic homograft for bacterial endocarditis and annular abscess.
Perelman
M J
MJ
Department of Surgery, University of Chicago, IL.
Sugimoto
J
J
Arcilla
R A
RA
Karp
R B
RB
D001011:Aorta / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D007231:Infant, Newborn; D012086:Reoperation; D013290:Streptococcal Infections / Q000150:complications / Q000601:surgery*