title: Surgical-transcatheter approach for endocarditis of a calcified aortic homograft.
abstract: Repeat aortic valve replacement (AVR) after freestanding homograft root replacement with reimplantation of the coronary arteries is challenging and risky, especially in patients with major homograft wall calcifications. Although new transcatheter techniques for AVR may offer an alternative in structurally degenerated homografts, they are not suitable to treat endocarditis. Here, the case is reported of successful treatment of bacterial endocarditis within a totally calcified homograft after aortic root replacement by combining conventional surgery and transcatheter techniques.
authors.affiliation: Klinik für Kardiovaskuläre Chirurgie, Charité - Universitätsmedizin Berlin, Berlin, Germany. herko.grubitzsch@charite.de
authors.forename: Herko
authors.initials: H
authors.lastname: Grubitzsch
authors.affiliation: Medizinische Klinik mit Schwerpunkt Kardiologie und Angiologie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Laule
authors.affiliation: Medizinische Klinik mit Schwerpunkt Kardiologie und Angiologie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Karl
authors.initials: K
authors.lastname: Stangl
authors.affiliation: lnstitut für Radiologie, Charité- Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Lembcke
authors.affiliation: Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Sander
authors.affiliation: Klinik für Kardiovaskuläre Chirurgie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Torsten
authors.initials: T
authors.lastname: Christ
authors.affiliation: Klinik für Kardiovaskuläre Chirurgie, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Konertz
mesh_terms: D000368:Aged; D064591:Allografts; D001021:Aortic Valve / Q000473:pathology* / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D004696:Endocarditis / Q000150:complications / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000601:surgery*