title: Recurrent Aortic Prosthetic Valve Endocarditis: A Radical Additional Anatomical Solution.
abstract: Recurrent prosthetic valve endocarditis, especially when characterized by annular abscess and aortic root destruction, remains a surgical challenge. A radical and aggressive surgical treatment is required preventing recurrent infection. Homograft implants are still thought to be the best surgical option, but they are not always available and their use in younger patient remains controversial. We propose an additional anatomical surgical technique, which consists in the implantation of a composite graft in the left ventricular outflow tract, well below the native aortic annulus, and then the direct reimplantation of coronary ostia.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cardio Thoracic Centre of Monaco, Monaco. Electronic address: cmarcacci@ccm.mc.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Marcacci
authors.affiliation: Department of Pediatric Cardiac Surgery, Children's Hospital Bambino Gesù, Rome, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Trezzi
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Cardio Thoracic Centre of Monaco, Monaco.
authors.forename: Gilles D
authors.initials: GD
authors.lastname: Dreyfus
mesh_terms: D000328:Adult; D001021:Aortic Valve; D004696:Endocarditis / Q000517:prevention & control*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D012008:Recurrence; D013203:Staphylococcal Infections / Q000517:prevention & control