Infected calcified homograft root: a sutureless solution
| Autor: | Kulvinder Lall, Michal Szczeklik, David J. McCormack, Shirish Ambekar, Prity Gupta |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Male Reoperation medicine.medical_specialty business.industry Calcinosis Context (language use) Endocarditis Bacterial medicine.disease Surgery medicine.anatomical_structure Aortic valve replacement Suture (anatomy) Infective endocarditis Aortic Valve medicine Endocarditis Humans Transplantation Homologous Cardiology and Cardiovascular Medicine business Calcification Aged |
| Zdroj: | The Annals of thoracic surgery. 95(5) |
| ISSN: | 1552-6259 |
| Popis: | Aortic valve reoperation after homograft root implantation is high risk and may be technically challenging. Dense calcification of the annulus may prevent suture placement and often necessitates impromptu high-risk redo root replacement. Although transcutaneous aortic valve implantation is an attractive option in such scenarios, in the context of endocarditis it is contraindicated. We describe a novel approach to aortic valve replacement in a patient with infective endocarditis of a heavily calcified homograft root, using a sutureless valve. This approach successfully avoided the need for redo root replacement with its attendant risks. |
| Databáze: | OpenAIRE |
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