Ross operation and mitral homograft for aortic and tricuspid valve endocarditis.
We report here a case of concomitant aortic and tricuspid valve endocarditis occurring in a 26-year-old woman 2 weeks after she had given birth by cesarean delivery. Preoperative transthoracic echocardiography revealed a previously undetected aorta-right atrium fistula, which at operation appeared to be congenital in origin. Surgical treatment consisted of aortic valve replacement with a pulmonary autograft, tricuspid valve replacement with a cryopreserved mitral homograft, and closure of the fistulous communication. The postoperative recovery was uneventful.
Prat
A
A
Service de Chirurgie Cardiaque, Hôpital Cardiologique, Centre Hospitalier Régional, Lille, France. aprat@chru-lille.fr
Fabre
O H
OH
Vincentelli
A
A
Doisy
V
V
Shaaban
G
G
D000328:Adult; D001018:Aortic Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000601:surgery; D015925:Cryopreservation; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000637:transplantation*; D011645:Puerperal Infection / Q000000981:diagnostic imaging / Q000601:surgery*; D011664:Pulmonary Valve / Q000637:transplantation*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D013212:Staphylococcus epidermidis; D014184:Transplantation, Homologous; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D016157:Vascular Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery