title: Prosthetic valve endocarditis with extensive aortic root abscess: full aortic root reconstruction with stentless bioprosthesis, xenopericardium and mitral valve replacement.
abstract: Prosthetic valve endocarditis with an extensive aortic root abscess usually has high mortality and morbidity. A 71-year-old male with an extended aortic root abscess following aortic valve replacement survived after full aortic root reconstruction with glutaraldehyde bovine pericardium, mitral valve replacement and full root replacement using stentless bioprosthesis. The patient is well without recurrence of infection, 18 months postoperatively. This procedure might be an alternative treatment for prosthetic valve endocarditis with an extended aortic root abscess.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Fujiwara
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hayashi
authors.forename: Shuji
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Komai
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Okamura
mesh_terms: D000038:Abscess / Q000601:surgery*; D000368:Aged; D001011:Aorta / Q000382:microbiology* / Q000601:surgery*; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006333:Heart Failure / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000382:microbiology / Q000601:surgery; D010496:Pericardium / Q000382:microbiology / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*