title: Repair of concomitant valvular endocarditis using a single homograft.
abstract: Definitive treatment of complicated bacterial endocarditis requires surgical operation. However, the extent of bacterial endocarditis has dictated that surgical options be individualized. There are several surgical approaches to treat bacterial endocarditis. Transesophageal echocardiography has provided an invaluable intraoperative aid to the surgical decision-making and quality assurance of the repair. We report a case in which a primary aortic homograft was used for concomitant aortic and mitral valve repair based on transesophageal echocardiography evaluation. This case provides a new surgical alternative that uses a single homograft to repair aortic and mitral valves.
authors.affiliation: Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA. ypeng@anest.ufl.edu
authors.forename: Yong G
authors.initials: YG
authors.lastname: Peng
authors.forename: Tomas
authors.initials: T
authors.lastname: Martin
authors.forename: Todd
authors.initials: T
authors.lastname: Horowitz
authors.forename: Avner
authors.initials: A
authors.lastname: Sidi
authors.forename: Gregory
authors.initials: G
authors.lastname: Janelle
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D014184:Transplantation, Homologous