title: Exclusion of Complex Paraannular Aortic Abscess With the Freestyle Xenograft.
abstract: Destructive aortic valve endocarditis is a serious condition that can result in aortoventricular disjunction. The appropriate surgical approach for severe excavating lesions remains a matter of debate. Homografts, prosthetic valves associated with a pericardial patch for annulus repair, and prosthetic valve conduits can be used. We report the technical issue of subcoronary inclusion of the full root Freestyle xenograft for complicated aortic endocarditis extending to the left ventricular outflow tract.
authors.affiliation: Department of Adult Cardiac Surgery, Marie Lannelongue Hospital, University of Paris Sud, Le Plessis Robinson, France. Electronic address: j.guihaire@ccml.fr.
authors.forename: Julien
authors.initials: J
authors.lastname: Guihaire
authors.affiliation: Department of Adult Cardiac Surgery, Marie Lannelongue Hospital, University of Paris Sud, Le Plessis Robinson, France.
authors.forename: Martin
authors.initials: M
authors.lastname: Kloeckner
authors.affiliation: Department of Adult Cardiac Surgery, Marie Lannelongue Hospital, University of Paris Sud, Le Plessis Robinson, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Deleuze
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001705:Bioprosthesis; D002315:Cardiopulmonary Bypass / Q000379:methods; D003131:Combined Modality Therapy; D004696:Endocarditis / Q000382:microbiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D064593:Heterografts / Q000637:transplantation*; D006801:Humans; D018570:Risk Assessment; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014694:Ventricular Outflow Obstruction / Q000517:prevention & control