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a Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida
b Department of Surgery, University of Florida College of Medicine, Gainesville, Florida
Accepted for publication April 21, 2009.
* Address correspondence to Dr Peng, Department of Anesthesiology, PO Box 100254, Gainesville, FL 32610-0254 (Email: ypeng{at}anest.ufl.edu).
Definitive treatment of complicated bacterial endocarditis requires surgical operation. However, the extent of bacterial endocarditis has dictated that surgical options be individualized. There are several surgical approaches to treat bacterial endocarditis. Transesophageal echocardiography has provided an invaluable intraoperative aid to the surgical decision-making and quality assurance of the repair. We report a case in which a primary aortic homograft was used for concomitant aortic and mitral valve repair based on transesophageal echocardiography evaluation. This case provides a new surgical alternative that uses a single homograft to repair aortic and mitral valves.
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