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Ann Thorac Surg 1994;57:225-228
© 1994 The Society of Thoracic Surgeons

Articles

Fibrous skeleton endocarditis: Repair using konno procedure

Michael D. Black, MD*, Virginia M. Walley, MD, Wilbert J. Keon, MD

Departments of Cardiovascular Surgery, Pathology, and Laboratory Medicine, University of Ottawa Heart Institute, Ottawa Civic Hospital, and University of Ottawa, Ottawa, Ontario, Canada

Accepted for publication March 31, 1993.

* Address reprint requests to Dr Black, University of Ottawa Heart Institute, Ottawa Civic Hospital, 1053 Carling Ave, Ottawa, Ont, Canada K1Y4E9.

Information about the surgical management of fibrous skeleton endocarditis is incomplete, as the vast majority of current literature describes the isolated repair of either the aortic or the mitral annulus, the combination rarely being addressed. Annular destruction, in the presence of endocarditis, demands extreme ingenuity for surgical treatment and cure. We describe and illustrate the Konno procedure for replacement of both infected mitral and aortic valves and repair of mycotic ventricular septal defects.




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