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Ann Thorac Surg 1988;45:674-677
© 1988 The Society of Thoracic Surgeons


Articles

Aortic Valve Endocarditis with Aortic Root Abscess Cavity: Surgical Treatment with Aortic Valve Homograft

James K. Kirklin, M.D., John W. Kirklin, M.D.*, Albert D. Pacifico, M.D.

Division of Cardiovascular/Thoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL

Accepted for publication December 31, 1987.

* Address reprint requests to Dr. Kirklin, Department of Surgery, University of Alabama at Birmingham, 739 Zeigler Bldg, University Station, Birmingham, AL 35294

Aortic valve endocarditis with an aortic root abscess cavity was treated by a modification of the standard technique of aortic homograft implantation in 3 patients. At a mean follow-up of 35 months, all 3 patients were well without reoperation or signs of aortic incompetence. This technique may, in some cases, be an alternative to the more complex procedure of homograft aortic root replacement with coronary reimplantation.




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