title: Infected calcified homograft root: a sutureless solution.
abstract: Aortic valve reoperation after homograft root implantation is high risk and may be technically challenging. Dense calcification of the annulus may prevent suture placement and often necessitates impromptu high-risk redo root replacement. Although transcutaneous aortic valve implantation is an attractive option in such scenarios, in the context of endocarditis it is contraindicated. We describe a novel approach to aortic valve replacement in a patient with infective endocarditis of a heavily calcified homograft root, using a sutureless valve. This approach successfully avoided the need for redo root replacement with its attendant risks.
authors.affiliation: Department of Cardiothoracic Surgery, St. Bartholomew's Hospital, London, United Kingdom. pritygupta@hotmail.com
authors.forename: Prity
authors.initials: P
authors.lastname: Gupta
authors.forename: David J
authors.initials: DJ
authors.lastname: McCormack
authors.forename: Michal
authors.initials: M
authors.lastname: Szczeklik
authors.forename: Shirish
authors.initials: S
authors.lastname: Ambekar
authors.forename: Kulvinder S
authors.initials: KS
authors.lastname: Lall
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery* / Q000637:transplantation; D002114:Calcinosis / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006801:Humans; D008297:Male; D012086:Reoperation; D014184:Transplantation, Homologous