title: Reconstruction of aorto-mitral continuity with a handmade aorto-mitral bioprosthetic valve for extensive bivalvular endocarditis.
abstract: Surgical treatment is effective to exclude all infected tissue in patients with infective endocarditis. Although various techniques have been reported, it has remained a great challenge for patients with extensive infected regions. A patient with extensive bivalvular endocarditis including the aortic and mitral valve and aorto-mitral continuity is described. A handmade aorto-mitral bioprosthetic valve was created to reconstruct the defect after extensive debridement. The patient was discharged on the 30th postoperative day without inflammatory signs.
authors.affiliation: Department of Cardiovascular Surgery,  Showa University School of Medicine, Tokyo,  Japan.
authors.forename: Takeo
authors.initials: T
authors.lastname: Tedoriya
authors.forename: Masanori
authors.initials: M
authors.lastname: Hirota
authors.forename: Noboru
authors.initials: N
authors.lastname: Ishikawa
authors.forename: Tadashi
authors.initials: T
authors.lastname: Omoto
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery*; D001705:Bioprosthesis; D003646:Debridement; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000382:microbiology / Q000601:surgery*; D011474:Prosthesis Design; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D016896:Treatment Outcome