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Ann Thorac Surg 1980;30:160-163
© 1980 The Society of Thoracic Surgeons

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Articles

Repair of Mycotic Aneurysms of the Aorta Involving the Aortic Valve

From the Division of Cardio-Thoracic Surgery, University of Kentucky Medical Center, Lexington, KY

^* Address reprint requests to Dr. Todd, University of Kentucky Medical Center, 800 Rose St, MN 274, Lexington, KY 40536

This report summarizes our successful management of 6 patients who underwent repair of mycotic aneurysms of the ascending aorta within a four-year period. Repairs have been successful despite involvement of as much as two-thirds of the circumference of the aortic valve annulus, involvement of the origin of the right coronary artery, and development of heart block. Three patients required surgical intervention because of hemodynamic decompensation before they had completed antibiotic therapy for endocarditis.

In 3 patients, the aneurysm was buttressed with the valve skirt so that aneurysm repair and valve replacement were accomplished in continuity. In 2 patients, the aneurysm was repaired separately and the valve seated on the repair. In 1 patient, a large defect between the left and right coronary arteries was repaired with a woven Dacron patch secured to the valve skirt. The valve was seated to the left ventricle and the graft to the aorta. There were no operative or postoperative deaths. Our data suggest that mycotic aneurysms of the aortic annulus can be successfully repaired despite extensive damage.

This article has been cited by other articles:

				F. Y. Chan, E. S. Crawford, J. S. Coselli, H. J. Safi, and T. W. Williams Jr In situ prosthetic graft replacement for mycotic aneurysm of the aorta Ann. Thorac. Surg., February 1, 1989; 47(2): 193 - 203. [Abstract] [PDF]

				A. C. Fiore, T. D. Ivey, P. P. McKeown, G. A. Misbach, M. D. Allen, and D. H. Dillard Patch Closure of Aortic Annulus Mycotic Aneurysms Ann. Thorac. Surg., October 1, 1986; 42(4): 372 - 379. [Abstract] [PDF]