Aortic homograft implantation after Ozaki procedure: Case report
| Autor: | Nikolay Kurasov, Ashot Simonyan, Boris Tlisov, Roman Komarov, Alexander Danachev, Alisher Ismailbaev, Ivan Ivashov |
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| Rok vydání: | 2021 |
| Předmět: |
Aortic valve
Wide excision medicine.medical_specialty CPB cardio pulmonary bypass Case Report 03 medical and health sciences 0302 clinical medicine medicine Surgical treatment Potential risk business.industry AVNeo aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium TEE transesophageal echocardiography Aortic valve endocarditis medicine.disease NYHA New York Heart Association Functional Classification Ozaki procedure Surgery body regions Young age surgical procedures operative IE infective endocarditis medicine.anatomical_structure Native valve 030220 oncology & carcinogenesis Infective endocarditis cardiovascular system Postoperative infective endocarditis 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2021.105782 |
| Popis: | Highlights • Aortic valve reconstruction with autologous pericardium has shown good results. • The infective endocarditis incidence data after Ozaki procedure are rare. • Homograft is an optimal replacement option for this patient cohort. • This is the first case of homograft use after previous Ozaki procedure. Introduction and importance The infective endocarditis incidence data for patients undergoing aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium (Ozaki procedure) are rare, and the optimal surgical treatment strategy remains unclear. Case presentation This is the first case report of surgical treatment of infective endocarditis of aortic valve with cryopreserved homograft in an athlete with previously performed Ozaki procedure. Clinical discussion The choice of homograft was dictated by the young age of the patient; professional activity as an athlete; refusal of anticoagulants and the need for wide excision of compromised tissues to mitigate potential risk of spread of infection as well as its recurrence. Conclusion The use of the aortic homograft allowed us to radically remove the infected tissues and achieve hemodynamic characteristics similar to the native valve. This is probably the first case report of use of homograft to treat aortic valve endocarditis following Ozaki procedure. |
| Databáze: | OpenAIRE |
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