Allograft pulmonary artery root replacement for refractory isolated pulmonic valve endocarditis.
A 45-year-old diabetic woman was subjected to percutaneous cardiopulmonary support for a life-threatening pulmonary embolism. One month later, she developed isolated pulmonic valve endocarditis. The causative organism was methicillin-resistant Staphylococcus aureus. Because of the uncontrollable infection and residual pulmonary hypertension, she underwent pulmonary artery root replacement with a cryopreserved pulmonary allograft. The postoperative course was very good. In this case, allograft implantation with a full root played a very important role because this method permitted thorough resection of the infected tissues and reconstruction which is highly resistant to infection.
Imanaka
Kazuhito
K
Department of Cardiovascular Surgery, Saitama Medical School, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan. Imanaka@saitama-med.ac.jp
Kyo
Shunei
S
Tanabe
Hiroaki
H
Asano
Haruhiko
H
Kato
Masaaki
M
Ohuchi
Hiroshi
H
Ogiwara
Masanori
M
Yokote
Yuji
Y
Takamoto
Shinichi
S
Hayama
Yasufumi
Y
D000792:Angiography; D004697:Endocarditis, Bacterial / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000637:transplantation*; D011664:Pulmonary Valve / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome