Valve-in-Valve Replacement Using a Sutureless Aortic Valve.
BACKGROUND We present a unique case of a 61-year-old female patient with homograft deterioration after redo surgery for prosthetic valve endocarditis with root abscess. CASE REPORT The first operation was performed for type A dissection with root, arch, and elephant trunk replacement of the thoracic aorta. The present re-redo surgery was performed as valve-in-valve with a sutureless aortic bioprosthesis. The postoperative course was uneventful and the patient was discharged on day 6. CONCLUSIONS The current case report demonstrates that sutureless bioprostheses are an attractive option for surgical valve-in-valve procedures, which can reduce morbidity and mortality.
Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
Pascal M
PM
Dohmen
Department of Radiology, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
Lukas
L
Lehmkuhl
Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
Michael A
MA
Borger
Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
Martin
M
Misfeld
Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
Friedrich W
FW
Mohr
D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D000071062:Sutureless Surgical Procedures
JACC Cardiovasc Interv. 2012 May;5(5):540-551
22625193
Eur J Cardiothorac Surg. 2016 Mar;49(3):978-86
26245628
Med Sci Monit Basic Res. 2016 Apr 19;22:34-44
27090791
Thorac Cardiovasc Surg Rep. 2016 Dec;5(1):21-23
28018815
N Engl J Med. 2012 May 3;366(18):1686-95
22443479
J Thorac Cardiovasc Surg. 2016 Jul;152(1):99-109.e2
26898975
Med Sci Monit Basic Res. 2015 Jul 03;21:145-52
26137928
Circulation. 2012 Mar 6;125(9):1102-9
22308299
Eur J Cardiothorac Surg. 2013 Mar;43(3):495-504
22933569
J Thorac Cardiovasc Surg. 2012 Nov;144(5):1010-6
22974713
J Thorac Cardiovasc Surg. 2014 Dec;148(6):2854-60
25218544
J Thorac Cardiovasc Surg. 2014 Feb;147(2):561-7
24280712
Am J Cardiol. 2015 Dec 1;116(11):1737-43
26433277
J Cardiol. 2016 Jun;67(6):504-12
26476500
Med Sci Monit. 2017 Jun 08;23:2782-2787
28592789
Ann Cardiothorac Surg. 2015 Mar;4(2):123-30
25870807
Ann Thorac Surg. 2011 Apr;91(4):1120-6
21276956
J Thorac Cardiovasc Surg. 2012 Dec;144(6):1372-9; discussion 1379-80
23140962
Dtsch Med Wochenschr. 2011 Oct;136(41):2106-8
21971887
J Am Coll Cardiol. 2011 Nov 15;58(21):2196-209
22078426
Ann Thorac Surg. 2013 Mar;95(3):922-7
23369349
J Thorac Cardiovasc Surg. 2014 Oct;148(4):1354-9
25260274
Interact Cardiovasc Thorac Surg. 2013 Sep;17(3):492-500
23702465
Expert Rev Med Devices. 2013 Jul;10(4):461-70
23895073