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Ann Thorac Surg 1998;65:1450-1452
© 1998 The Society of Thoracic Surgeons

Case Reports

Ross Operation and Mitral Homograft for Aortic and Tricuspid Valve Endocarditis

Alain Prat, MDa, Olivier H. Fabre, MDa, André Vincentelli, MDa, Vincent Doisy, MDa, Ghatfan Shaaban, MDa

a Service de Chirurgie Cardiaque, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France

Accepted for publication December 3, 1997.

Address reprint requests to Dr Prat, Service de Chirurgie Cardiaque, Hôpital Cardiologique, Centre Hospitalier Regional Universitaire, 59037 Lille Cedex, France
e-mail: (aprat{at}chru-lille.fr)

We report here a case of concomitant aortic and tricuspid valve endocarditis occurring in a 26-year-old woman 2 weeks after she had given birth by cesarean delivery. Preoperative transthoracic echocardiography revealed a previously undetected aorta–right atrium fistula, which at operation appeared to be congenital in origin. Surgical treatment consisted of aortic valve replacement with a pulmonary autograft, tricuspid valve replacement with a cryopreserved mitral homograft, and closure of the fistulous communication. The postoperative recovery was uneventful.




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