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Ann Thorac Surg 1989;47:300-301
© 1989 The Society of Thoracic Surgeons

Articles

Homograft aortic root replacement to correct infective endocarditis requiring seven open cardiac procedures

Richard F. Saldanha, MS, MCh, Jai Raman, MBBS, Michael Feneley, MD, FRACP, Alan E. Farnsworth, FRACS*

Cardiothoracic Surgical Unit, St. Vincent's Hospital, Sydney, Australia

Accepted for publication August 16, 1988.

* Address reprint requests to Dr Farnsworth, Honorary Cardiothoracic Surgeon, St. Vincent's Hospital, Sydney NSW 2010, Australia.

Infective endocarditis, presumably from a septic dental focus, affecting the aortic valve was seen as acute aortic regurgitation in a 20-year-old woman. Seven open cardiac procedures for replacement of the aortic valve and left ventricular outflow tract were performed over the subsequent 6 years. Aortic root replacement using a fresh antibiotic-sterilized homograft was performed as the last definitive operative procedure. This article is presented to highlight (1) the use of homograft aortic root replacement for extensive involvement of aortic valve and left ventricular outflow tract in cases of infective endocarditis and (2) the feasibility of multiple sternal reentries when indicated.




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Home page
 Ann. Thorac. Surg.Home page
H. Singh Bedi and A. E. Farnsworth
Homograft aortic root replacement for destructive prosthetic endocarditis
Ann. Thorac. Surg., February 1, 1993; 55(2): 386 - 388.
[Abstract] [PDF]


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