title: Mitral homograft in the tricuspid position, aortic homograft and mitral plasty in a drug addict with multiple valve endocarditis.
abstract: The case is reported of multiple valve surgery using as little prosthetic material as possible in a drug addict with recurrent right and left bacterial endocarditis. The patient underwent aortic valve replacement with a cryopreserved aortic homograft, mitral repair and tricuspid valve replacement with a mitral homograft, using a modified technique. The indications and surgical options for tricuspid valve endocarditis in this patient group are discussed, with particular focus on technical aspects of using mitral homografts in the tricuspid position.
authors.affiliation: Department of Cardiovascular Surgery, Hospital Universitario Reina Sofia, Cordoba, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Concha
authors.forename: Pedro J
authors.initials: PJ
authors.lastname: Aranda
authors.forename: Jaime
authors.initials: J
authors.lastname: Casares
authors.forename: Carlos
authors.initials: C
authors.lastname: Merino
authors.forename: Ignacio
authors.initials: I
authors.lastname: Muñoz
authors.forename: Pedro
authors.initials: P
authors.lastname: Alados
authors.forename: Jose R
authors.initials: JR
authors.lastname: Gonzalez
authors.forename: Elias
authors.initials: E
authors.lastname: Romo
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000637:transplantation*; D002177:Candidiasis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000637:transplantation*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D019966:Substance-Related Disorders; D014184:Transplantation, Homologous; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000637:transplantation*