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Ann Thorac Surg 1989;48:725-727
© 1989 The Society of Thoracic Surgeons

Articles

Modified Danielson technique for recurrent aortic valve endocarditis

Gilles Dreyfus, MD*, Victor A. Jebara, MD, Jean Paul Couetil, MD, Alain Carpentier, MD, PhD

Clinique de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris, France

Accepted for publication June 13, 1989.

* Address reprint requests to Dr Dreyfus, Hôpital Broussais, 96 rue Didot, 75014 Paris, France.

Recurrent aortic valve endocarditis is frequently associated with paravalvular ring abscess that destroys the annulus. In occasional cases, the degree of necrosis, destruction of the annulus, and the presence of intramyocardial abscesses make it impossible to seat a new prosthesis. Danielson reported initial success in treating such patients by translocating the aortic valve to the ascending aorta and placing vein grafts to the coronary arteries. We recently treated a 17-year-old patient suffering recurrent aortic valve endocarditis using Danielson's technique, which we modified by implanting the left main coronary artery directly into the conduit. We believe that in young patients this modification can offer a beneficial alternative.




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[PDF]


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