title: Homograft aortic root replacement for destructive valve endocarditis. The benefit of an in-house homograft bank.
abstract: This report concerns the surgical treatment of a 45-year old patient with active staphylococcus-endocarditis of the aortic valve which resulted in an aortic root abscess and consequently in a ventricular aortic discontinuity. A technique of homograft aortic root replacement after removal of all infected and necrotic areas is described. After a six month follow-up, the patient is asymptomatic (New York Heart Association functional class I) and shows no signs of recurrence of endocarditis. This case report makes the benefit of an in-house homograft-bank system obvious.
authors.affiliation: Department of Cardiac Surgery, Klinikum Grosshadern, University of Munich, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Fischlein
authors.forename: C
authors.initials: C
authors.lastname: Detter
authors.forename: M
authors.initials: M
authors.lastname: Haushofer
authors.forename: P
authors.initials: P
authors.lastname: Uberfuhr
authors.forename: C
authors.initials: C
authors.lastname: Weinhold
authors.forename: E
authors.initials: E
authors.lastname: Kreuzer
authors.forename: B
authors.initials: B
authors.lastname: Reichart
mesh_terms: D000038:Abscess / Q000473:pathology / Q000601:surgery; D001021:Aortic Valve / Q000473:pathology / Q000637:transplantation*; D004697:Endocarditis, Bacterial / Q000473:pathology / Q000601:surgery*; D006349:Heart Valve Diseases / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D013203:Staphylococcal Infections / Q000473:pathology / Q000601:surgery*; D013536:Suture Techniques; D014015:Tissue Banks; D014184:Transplantation, Homologous