title: Translocation of prosthetic aortic valve in advanced prosthetic valve endocarditis.
abstract: Advanced prosthetic valve endocarditis is often associated with substantial destruction of the tissues adjacent to the prosthesis. Removal of the infected prosthesis and débridement of the infected tissues make implantation of a new prosthesis challenging. Herein, we discuss successful surgical aortic valve translocation in a 50-year-old man who had advanced acute prosthetic valve endocarditis with destruction of the aortic annulus. One year after being discharged from the hospital, the patient was asymptomatic with good exercise tolerance.
authors.affiliation: Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital & School of Surgery, University of Western Australia, Perth, WA 6009, Australia.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Saxena
authors.forename: Jaffar
authors.initials: J
authors.lastname: Shehatha
authors.forename: Stuart
authors.initials: S
authors.lastname: Downie
authors.forename: Mark A J
authors.initials: MA
authors.lastname: Newman
authors.forename: Igor E
authors.initials: IE
authors.lastname: Konstantinov
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D003646:Debridement; D020878:Device Removal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / 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; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D034361:Streptococcus mitis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents