Aortic root abscess with aortico-mitral discontinuity after a ross operation in a child: reconstruction with an oversized homograft.
A case of early neo-aortic root abscess following a Ross operation in a 3(1/2)-year-old child is described. The infection destroyed neo-aortic wall with two of the semilunar leaflets detached, and the abscess cavity extended across the intervalvular fibrous body into the left atrium and onto the native mitral valve creating partial "aortico-mitral discontinuity." Reconstruction was successful with an oversized cryopreserved homograft.
Kollar
Andras
A
Department of Cardiovascular Surgery, Semmelweis University, Budapest, Hungary. andraskollar@hotmail.com
Hartyanszky
Istvan
I
Kadar
Krisztina
K
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000151:congenital / Q000628:therapy; D006348:Cardiac Surgical Procedures; D002404:Catheterization; D002675:Child, Preschool; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014184:Transplantation, Homologous