title: Multiple sternotomies for repeated aortic root replacement--optimising the surgical approach.
abstract: A 44-year-old patient with fungal endocarditis required a total of five sternotomies over ten years. We present the course of his treatment, details of the surgical techniques employed as well as other interesting points encountered in the management of this patient.
authors.affiliation: Oxford Radcliffe Hospitals NHS Trust, Oxford, UK. jeffrey.lim@doctors.net.uk
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lim
authors.forename: Ravi
authors.initials: R
authors.lastname: Pillai
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D002176:Candida albicans / Q000302:isolation & purification; D001026:Coronary Artery Bypass; D003646:Debridement; D020878:Device Removal; D004696:Endocarditis / Q000382:microbiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D011424:Propionibacterium / Q000302:isolation & purification; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D056346:Sternotomy; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000890:Anti-Infective Agents