title: Use of a valved-conduit for exclusion of the infected portion in the prosthetic pulmonary valve endocarditis.
abstract: A 51-year-old male was admitted to the hospital with complaints of fever and hemoptysis. After evaluation of the fever focus, he was diagnosed with pulmonary valve infective endocarditis. Thus pulmonary valve replacement and antibiotics therapy were performed and discharged. He was brought to the emergency unit presenting with a high fever (>39℃) and general weakness 6 months after the initial operation. The echocardiography revealed prosthetic pulmonary valve endocarditis. Therefore, redo-pulmonary valve replacement using valved conduit was performed in the Rastelli fashion because of the risk of pulmonary arterial wall injury and recurrent endocarditis from the remnant inflammatory tissue. We report here on the successful surgical treatment of prosthetic pulmonary valve endocarditis with an alternative surgical method.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea.
authors.forename: Joonho
authors.initials: J
authors.lastname: Jung
authors.forename: You Sun
authors.initials: YS
authors.lastname: Hong
authors.forename: Cheol Joo
authors.initials: CJ
authors.lastname: Lee
authors.forename: Sang-Hyun
authors.initials: SH
authors.lastname: Lim
authors.forename: Ho
authors.initials: H
authors.lastname: Choi
authors.forename: Soo-Jin
authors.initials: SJ
authors.lastname: Park
keywords: Endocarditis; Prosthetic valve endocarditis; Pulmonary valve