Surgical treatment of aortic root abscess with damage of the mitral valve apparatus.
A 35-year-old man with an aortic root abscess successfully underwent aortic valve replacement and mitral valve repair using a prosthetic valve with a skirt which was secured to the sewing cuff. This is a useful technique for reinforcement of a fragile annulus and prevention of annular detachment. A further useful technique is to infuse normal saline from a Foley catheter inserted into the aortic root to estimate mitral valve coaptation.
Moro
H
H
Second Department of Surgery, School of Medicine, Niigata, Japan.
Ohzeki
H
H
Namura
O
O
Hayashi
J I
JI
Eguchi
S
S
D000038:Abscess / Q000150:complications / Q000601:surgery*; D000328:Adult; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D005260:Female; D006349:Heart Valve Diseases / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve