title: A novel technique of aortic root reconstruction for extensive endocarditis: the pericardial skirt technique.
abstract: Extensive aortic valve endocarditis requires thorough debridement of the paravalvular tissue, and reconstruction of the destroyed aortic root can be technically difficult. In the present report, we describe a simple technique for aortic root reconstruction. In this technique, a doughnut-shaped bovine pericardial sheet (skirt) is attached to the proximal end of a valved conduit and then sewn onto the destroyed aortic annulus. Because skirt flexibility facilitated excellent adaptation to the irregular annular plane, we did not encounter any severe bleeding from the proximal anastomosis of the valved conduit in any of the cases. We believe that our procedure may be beneficial for aortic root reconstruction in patients with extensive endocarditis.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: kdoi@koto.kpu-m.ac.jp.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Doi
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Suguru
authors.initials: S
authors.lastname: Ohira
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Dohi
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Tsunehisa
authors.initials: T
authors.lastname: Yamamoto
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Kazunari
authors.initials: K
authors.lastname: Okawa
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods; D004696:Endocarditis / Q000473:pathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D010496:Pericardium / Q000637:transplantation; D011474:Prosthesis Design