A customized technique for confluent aortic annular and selective sinus of Valsalva endocarditis.

Autor: Barua A; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom., Nanjaiah P; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom., Warwick R; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom., Jeeji R; Department of Cardiothoracic Anaesthesia, University Hospitals North Midlands NHS Trust, Staffordshire, United Kingdom., Balacumaraswami L; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Feb 23; Vol. 2024 (2), pp. rjae089. Date of Electronic Publication: 2024 Feb 23 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae089
Abstrakt: We describe a novel technical modification for reoperative aortic valve replacement in destructive recurrent prosthetic aortic valve endocarditis. We encountered complex anatomy in a previously operated aortic root wherein the aortic annulus and the right coronary sinus of Valsalva were destroyed. This precluded secure suture placement. We modified a composite mechanical Valsalva conduit to create a separate sinus of Valsalva left in continuity with the mechanical valve. This approach allowed us to exclude the infected right sinus of Valsalva and the corresponding aortic annulus.
Competing Interests: None declared.
(© Crown copyright 2024.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje