title: Apical Aortic Conduit Infection 27 Years After Repaired Left Ventricular Outflow Tract Obstruction.
abstract: Left ventricle to aortic conduits were used for the treatment of complex left ventricular outflow tract obstruction in the pediatric population in the mid-1970s. Although this technique has been largely replaced by the Ross-Konno procedure, many patients still have functioning apicoaortic conduits in place today. Few clinical reports or case series exist in pediatric cohorts documenting the natural history or potential long-term complications of this prosthesis. In this report, we describe our experience managing a patient with Shone's syndrome and an apical aortic porcine-valved conduit remnant that became infected 17 years postconduit valve excision for valvular insufficiency.
authors: Division of Cardiothoracic Surgery, St Louis University School of Medicine, SSM Cardinal Glennon Children's Medical Center, Saint Louis, MO, USA.
authors: Dustin J
authors: DJ
authors: Carpenter
authors: Division of Cardiothoracic Surgery, St Louis University School of Medicine, SSM Cardinal Glennon Children's Medical Center, Saint Louis, MO, USA.
authors: Andrew C
authors: AC
authors: Fiore
authors: Division of Cardiothoracic Surgery, St Louis University School of Medicine, SSM Cardinal Glennon Children's Medical Center, Saint Louis, MO, USA chuddle7@slu.edu.
authors: Charles B
authors: CB
authors: Huddleston
mesh_terms: D000328:Adult; D000818:Animals; D001013:Aorta, Thoracic; D001705:Bioprosthesis / Q000009:adverse effects*; D005260:Female; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis*; D013290:Streptococcal Infections / Q000175:diagnosis*; D013552:Swine; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014694:Ventricular Outflow Obstruction / Q000601:surgery*
keywords: aortic valve; apicoaortic conduit; left ventricular outflow tract obstruction