title: Surgical treatment of infective endocarditis with aortic and tricuspid valve involvement using cryopreserved aortic and mitral valve allografts.
abstract: Surgical treatment of infective and prosthetic endocarditis using allografts gives good results. Aortic allograft implantation is a common technique, while tricuspid valve replacement with a mitral allograft is very rare. Multiple valve disease in case of infective endocarditis is a surgical challenge as such patients are usually in a grave condition and results of surgical treatment are often unsatisfactory. In this article we describe a clinical case of successful surgical treatment in a patient with active infective endocarditis of aortic and tricuspid valve, complicated by an aortic-right ventricular fistula. The aortic valve and ascending aorta were replaced with a cryopreserved aortic allograft; the tricuspid valve was replaced with a cryopreserved mitral allograft.
authors.affiliation: Republican Scientific and Practical Centre 'Cardiology', Minsk, Belarus.
authors.forename: Yury
authors.initials: Y
authors.lastname: Ostrovsky
authors.affiliation: Republican Scientific and Practical Centre 'Cardiology', Minsk, Belarus.
authors.forename: Siarhei
authors.initials: S
authors.lastname: Spirydonau
authors.affiliation: Republican Scientific and Practical Centre 'Cardiology', Minsk, Belarus m.shchatsinka@tut.by.
authors.forename: Mikalai
authors.initials: M
authors.lastname: Shchatsinka
authors.affiliation: Republican Scientific and Practical Centre 'Cardiology', Minsk, Belarus.
authors.forename: Aliaksandr
authors.initials: A
authors.lastname: Shket
mesh_terms: D000328:Adult; D064591:Allografts; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D015925:Cryopreservation / Q000379:methods*; D015150:Echocardiography, Doppler; D004630:Emergencies; D004696:Endocarditis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D058386:Mitral Valve Annuloplasty / Q000379:methods; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008991:Monitoring, Physiologic / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D015819:Substance Abuse, Intravenous; D016896:Treatment Outcome
keywords: Aortic allograft; Infective endocarditis; Mitral allograft