Homograft aortic root replacement for destructive valve endocarditis. The benefit of an in-house homograft bank.
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.
Fischlein
T
T
Department of Cardiac Surgery, Klinikum Grosshadern, University of Munich, Germany.
Detter
C
C
Haushofer
M
M
Uberfuhr
P
P
Weinhold
C
C
Kreuzer
E
E
Reichart
B
B
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