Aortic root re-replacement with cryopreserved aortic homograft in a patient with active composite valve-graft endocarditis.
We describe a repeat aortic root replacement using a cryopreserved aortic homograft in a patient with active composite valve-graft endocarditis and an aortic root abscess. At the second surgery, infected prosthetic material was removed and surrounding tissue was radically debrided. The cryopreserved aortic homograft was positioned using the full root technique with a concomitant coronary bypass graft. The postoperative course was uneventful and the patient continues to thrive 2 years after the repeat operation.
Shimizu
Hideyuki
H
Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
Takahashi
Tatsuo
T
Yamazaki
Masataka
M
Hasegawa
Naoki
N
Shin
Hankei
H
Yozu
Ryohei
R
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000601:surgery*; D015925:Cryopreservation; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous
D000900:Anti-Bacterial Agents