title: [Cylindrical patch repair for circumferential subvalvular abscess due to prosthetic valve endocarditis].
abstract: A 51-year-old male underwent aortic valve replacement and vascular prosthesis implantation due to an aneurysm of the ascending aorta combined with aortic regurgitation caused by the bicuspid aortic valve. Semi-emergency surgery was performed due to severe paravalvular leakage with prosthetic valve endocarditis 16 months after the 1st operation. The circumferential annular abscess cavities were closed with a cylindrical patch, and a mechanical valve was installed on the upper edge of the sutured cylindrical patch. A vascular prosthesis was reimplanted to the ascending aorta. Use of the cylindrical patch provides a good exposure of operative field to close circumferential annular abscess cavity.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan.
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Hirai
authors.forename: Takeki
authors.initials: T
authors.lastname: Ohashi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yoshida
authors.forename: Fujihiro
authors.initials: F
authors.lastname: Oka
authors.forename: Nozomi
authors.initials: N
authors.lastname: Oyoshi
authors.forename: Soichiro
authors.initials: S
authors.lastname: Kageyama
authors.forename: Reo
authors.initials: R
authors.lastname: Sakakura
authors.forename: Masato
authors.initials: M
authors.lastname: Furui
authors.forename: Akinori
authors.initials: A
authors.lastname: Kojima
authors.forename: Koji
authors.initials: K
authors.lastname: Nanmoku
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000150:complications*; D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000150:complications*; D013203:Staphylococcal Infections / Q000601:surgery; D013212:Staphylococcus epidermidis