Successful aortic valve replacement for severe aortic regurgitation combined with annular abscess due to active infected endocarditis: usefulness of gelatine-resorcine-formol biological glue in remodeling the new aortic annulus.
Two men, 58 and 72 years old, were diagnosed as severe aortic regurgitation complicated by aortic annular abscess due to active endocarditis infection diagnosed by echocardiography. We conducted aortic valve replacement using gelatine-resorcine-formol biological glue to close the abscess cavity and remodel the new aortic annulus. Although 1 man developed complete atrial-ventral blockage postoperatively and required that a permanent pacemaker be implanted, neither experienced recurrence of infectious peri-valvular leakage.
Department of Thoracic Surgery, Hyogo College of Medicine, I-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan.
Hideki
H
Yao
Takashi
T
Miyamoto
Sukemasa
S
Mukai
Mitsuhiro
M
Yamamura
Takashi
T
Nakagawa
Masaaki
M
Ryomoto
D000038:Abscess / Q000601:surgery*; D000368:Aged; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D004338:Drug Combinations; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000473:pathology; D005557:Formaldehyde / Q000627:therapeutic use*; D005780:Gelatin / Q000627:therapeutic use*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012118:Resorcinols / Q000627:therapeutic use*; D014014:Tissue Adhesives / Q000627:therapeutic use*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin