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: Yury Ostrovsky, Siarhei Spirydonau, Mikalai Shchatsinka, Aliaksandr Shket
• Journal: Interactive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 20 Issue 5 Pg. 682-4 (May 2015) ISSN: 1569-9285 [Electronic] England
• PMID: 25697982 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Topics

• Adult
• Allografts
• Aortic Valve Insufficiency (diagnostic imaging, etiology, surgery)
• Cardiac Valve Annuloplasty (methods)
• Cryopreservation (methods)
• Echocardiography, Doppler
• Emergencies
• Endocarditis (complications, diagnostic imaging, surgery)
• Female
• Follow-Up Studies
• Humans
• Mitral Valve Annuloplasty (methods)
• Mitral Valve Insufficiency (diagnostic imaging, etiology, surgery)
• Monitoring, Physiologic (methods)
• Risk Assessment
• Severity of Illness Index
• Substance Abuse, Intravenous
• Treatment Outcome