title: Modified aortic root replacement technique in destructive ventricular-aortic discontinuity.
abstract: We describe a simple technique for aortic root replacement in destructive prosthetic aortic valve endocarditis wherein the fragile aortic annulus tissue is not suitable for suture placement. Therefore, we first reconstructed the intervalvular part with a nontreated pericardial patch and then implanted the aortic composite graft on the aortic root through the roof of the left atrium and reconstructed the defect thus made with another pericardial patch. No complication was seen at 6-month follow up.
authors.affiliation: Heart Valve Disease Research Center, Iran University of Medical Science, Tehran, Iran; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran. Electronic address: aaghavidel@yahoo.com.
authors.forename: Alireza Alizadeh
authors.initials: AA
authors.lastname: Ghavidel
authors.affiliation: Heart Valve Disease Research Center, Iran University of Medical Science, Tehran, Iran; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran.
authors.forename: Hoda
authors.initials: H
authors.lastname: Javadikasgari
authors.affiliation: Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran.
authors.forename: Anita
authors.initials: A
authors.lastname: Sadeghpour
authors.affiliation: Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran.
authors.forename: Ziae
authors.initials: Z
authors.lastname: Totonchi
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001705:Bioprosthesis; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D003131:Combined Modality Therapy; D017548:Echocardiography, Transesophageal / Q000379:methods; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D013997:Time Factors; D016896:Treatment Outcome
keywords: 35