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[Cylindrical patch repair for circumferential subvalvular abscess due to prosthetic valve endocarditis].

Authors
  • Hirai, Yasutaka
  • Ohashi, Takeki
  • Yoshida, Takeshi
  • Oka, Fujihiro
  • Oyoshi, Nozomi
  • Kageyama, Soichiro
  • Sakakura, Reo
  • Furui, Masato
  • Kojima, Akinori
  • Nanmoku, Koji
Type
Published Article
Journal
Kyobu geka. The Japanese journal of thoracic surgery
Publication Date
Dec 01, 2010
Volume
63
Issue
13
Pages
1128–1132
Identifiers
PMID: 21174661
Source
Medline
License
Unknown

Abstract

A 51-year-old male underwent aortic valve replacement and vascular prosthesis implantation due to an aneurysm of the ascending aorta combined with aortic regurgitation caused by the bicuspid aortic valve. Semi-emergency surgery was performed due to severe paravalvular leakage with prosthetic valve endocarditis 16 months after the 1st operation. The circumferential annular abscess cavities were closed with a cylindrical patch, and a mechanical valve was installed on the upper edge of the sutured cylindrical patch. A vascular prosthesis was reimplanted to the ascending aorta. Use of the cylindrical patch provides a good exposure of operative field to close circumferential annular abscess cavity.

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