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Ann Thorac Surg 1998;65:1788-1790
© 1998 The Society of Thoracic Surgeons

Case Reports

Repair of Mitral Valve and Subaortic Mycotic Aneurysm in a Child With Endocarditis

Michael W. Frank, MDa, Constantine Mavroudis, MDa, Carl L. Backer, MDa, Albert P. Rocchini, MDa

a Divisions of Cardiovascular-Thoracic Surgery and Cardiology, Children’s Memorial Hospital, and Departments of Surgery and Pediatrics, Northwestern University Medical School, Chicago, Illinois, USA

Accepted for publication January 12, 1998.

Address reprint requests to Dr Mavroudis, Division of Cardiovascular-Thoracic Surgery, M/C #22, Children’s Memorial Hospital, 2300 Children’s Plaza, Chicago, IL 60614
e-mail: (c-mavroudis{at}nwu.edu)

Endocarditis requiring surgical intervention in children is uncommon. Individualized operative therapy must be fashioned to the particular pathology of each case. In this case we describe mitral anterior leaflet homograft patch augmentation valvuloplasty, subaortic homograft patch closure of a large mycotic aneurysm, and homograft aortic root replacement in a 3-year-old patient with endocarditis after remote repair of complete atrioventricular canal.




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