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.
Department of Cardiovascular Surgery, Saitama Medical School, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan. Imanaka@saitama-med.ac.jp
Kazuhito
K
Imanaka
Shunei
S
Kyo
Hiroaki
H
Tanabe
Haruhiko
H
Asano
Masaaki
M
Kato
Hiroshi
H
Ohuchi
Masanori
M
Ogiwara
Yuji
Y
Yokote
Shinichi
S
Takamoto
Yasufumi
Y
Hayama
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