title: Aortic periannular abscess invading into the central fibrous body, mitral valve, and tricuspid valve.
abstract: A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was executed from the aortic annulus at NCS down to the central fibrous body and annulus of the MV and the TV, followed by the left ventricular outflow tract reconstruction with implantation of a mechanical aortic valve by using a leaflet of the half-folded elliptical bovine pericardial patch. Another leaflet of this patch was used for the repair of the right atrial wall with a defect and the TV.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Hyun Kong
authors.initials: HK
authors.lastname: Oh
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School, Korea.
authors.forename: Nan Yeol
authors.initials: NY
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Min-Woong
authors.initials: MW
authors.lastname: Kang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Shin Kwang
authors.initials: SK
authors.lastname: Kang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Jae Hyeon
authors.initials: JH
authors.lastname: Yu
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Seung Pyung
authors.initials: SP
authors.lastname: Lim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Korea.
authors.forename: Jae Sung
authors.initials: JS
authors.lastname: Choi
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea.
authors.forename: Myung Hoon
authors.initials: MH
authors.lastname: Na
keywords: 1. Endocarditis; 2. Aortic root; 3. Aortic valve; 4. Central fibrous body