Aortic valve replacement with sutureless Perceval S valve: A case report of aortic root homograft failure in the setting of Streptococcus constellatus endocarditis

Journal of Cardiac Surgery
Rory F L HammondWael I Awad

Abstract

Surgery for failed homograft aortic root replacement with extensive calcification in the setting of endocarditis alone is very challenging. We report the case of redo aortic valve replacement and mitral valve replacement, in a 39 years old presenting with a rare Streptococcus constellatus endocarditis of a previously implanted homograft root and native mitral valve, where conventional valve replacement proved nonfeasible. S. constellatus had caused severe tissue destruction and the extensive calcification in the homograft prevented conventional valve replacement with sutures. In this case, a sutureless valve provided a useful alternative surgical strategy. We consider heavily calcified failed homografts to be a good indication for sutureless (rapid deployment) valves.

References

Aug 8, 1996·The New England Journal of Medicine·W VongpatanasinR A Lange
Dec 25, 2004·European Heart Journal·Ignasi AngueraUNKNOWN Aorto-cavitary Fistula in Endocarditis Working Group
Sep 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Michele MusciRoland Hetzer
Nov 15, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Anke KowertEckehard Kilian
Sep 9, 2017·Journal of Cardiothoracic Surgery·Ferdi AkcaErwin Tan

❮ Previous
Next ❯

Citations

Mar 14, 2021·Journal of Cardiac Surgery·Antonio PiperataGino Gerosa
Jul 3, 2021·Journal of Cardiovascular Development and Disease·Igor VendraminUgolino Livi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.

Related Papers

Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
M HubkaA Sventeková
Anglo-German Medical Review. Deutsch-englische Medizinische Rundschau
D Ross
© 2021 Meta ULC. All rights reserved