Reversed root for entirely biological aortic valve and ascending aorta replacement in a patient with endocarditis and mediastinitis.

Abstract

A 59-year-old patient developed endocarditis with coagulase-negative staphylococci after aortic composite graft replacement and pacemaker implantation. She underwent complete pacemaker removal and tricuspid valve reconstruction. Pus was present in and around the aortic graft. Re-replacement of the aortic root and ascending aorta using only biological material was performed. A 23-mm full root stentless prosthesis (Vascutek Root Elan, Vascutec, Terumo, Leeds, UK) was used for aortic root replacement, and a second 25-mm full root prosthesis with removed cusps implanted in a reversed fashion was used for ascending aorta and proximal aortic arch replacement.

• Authors: J M Albes, T Claus
• Journal: The Thoracic and cardiovascular surgeon (Thorac Cardiovasc Surg) Vol. 59 Issue 4 Pg. 247-8 (Jun 2011) ISSN: 1439-1902 [Electronic] Germany
• PMID: 21394712 (Publication Type: Case Reports, Journal Article)
• Copyright: © Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Aortic Aneurysm (surgery)
• Aortic Valve Stenosis (surgery)
• Atrioventricular Block (therapy)
• Bioprosthesis
• Blood Vessel Prosthesis (adverse effects)
• Blood Vessel Prosthesis Implantation (adverse effects, instrumentation)
• Device Removal
• Endocarditis, Bacterial (microbiology, surgery)
• Female
• Heart Valve Prosthesis (adverse effects)
• Heart Valve Prosthesis Implantation (adverse effects, instrumentation)
• Humans
• Mediastinitis (microbiology, surgery)
• Middle Aged
• Pacemaker, Artificial (adverse effects)
• Prosthesis Design
• Prosthesis-Related Infections (microbiology, surgery)
• Reoperation
• Staphylococcus (isolation & purification)
• Treatment Outcome
• Tricuspid Valve (microbiology, surgery)