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The Annals of Thoracic Surgery, Vol 47, 300-301, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

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

RF Saldanha, J Raman, M Feneley and AE Farnsworth
Cardiothoracic Surgical Unit, St. Vincent's Hospital, Sydney, 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.