title: A rare case of prosthetic endocarditis and dehiscence in a mechanical valved conduit.
abstract: A middle-aged adult patient with a history of aortic root replacement with a mechanical valved conduit and remote chest trauma was referred to our institution with prosthetic endocarditis. Transoesophageal echocardiogram at our institution confirmed a near-complete dehiscence of the prosthetic aortic valve from the conduit, with significant perivalvular flow forming a pseudoaneurysm. The patient underwent a high-risk re-operation, involving redo aortic root replacement with a homograft after extensive debridement of the infected tissue. The patient was discharged to an outside facility after an uncomplicated hospital course, and remains stable.
authors: University of Arizona, Tucson, Arizona, USA.
authors: Arun
authors: A
authors: Kannan
authors: Cristy
authors: C
authors: Smith
authors: Sreekumar
authors: S
authors: Subramanian
authors: Rajesh
authors: R
authors: Janardhanan
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D014463:Ultrasonography