Autograft from quadrangular resection for floppy valve repair in endocarditis.
We present a case of reconstruction of the anterior leaflet in mitral valve prolapse and subacute bacterial endocarditis in which the resected prolapsing segment of the posterior leaflet was used as patch material. Competence of the valve was achieved with no recurrence of infection. Quadrangular resection of the posterior leaflet supplies presumably viable patch material for valve repair, which is particularly useful in bacterial endocarditis and when pliability is required.
Division of Cardiac Surgery, University of Rome Tor Vergata, European Hospital, Italy.
A
A
Penta de Peppo
J
J
Zeitani
R
R
De Paulis
L
L
Chiariello
D000368:Aged; D002815:Chordae Tendineae / Q000601:surgery; D004698:Endocarditis, Subacute Bacterial / Q000188:drug therapy / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery / Q000637:transplantation*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D008945:Mitral Valve Prolapse / Q000601:surgery*; D018583:Pliability; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000601:surgery*; D013536:Suture Techniques; D014182:Transplantation, Autologous