Minimizing foreign material in the reconstruction of infected complex annuloaortic disruption.
For repairing disrupted ventriculoaortic continuity caused by complicated aortic root infection, my colleagues and I simply approximate it without any patch material to decrease the possible risk of recurrence of infection. After massive and aggressive debridement of the infected tissue, all discontinuities or abscess cavities were excluded by using interrupted sutures to anchor a new valve substitute in 13 patients. Only 1 patient died of uncontrolled sepsis. During the follow-up period (mean, 21.5 months) all 12 survivors have done well, without any evidence of paravalvular leakage or recurrent infections.
Sung
Kiick
K
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Lee
Young Tak
YT
Park
Pyo Won
PW
Park
Kay-Hyun
KH
Jun
Tae-Gook
TG
Yang
Ji-Hyuk
JH
D000038:Abscess / Q000601:surgery*; D017541:Aneurysm, False / Q000601:surgery; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005547:Foreign Bodies; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012008:Recurrence; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous