Full root replacement with a Freestyle bioprosthesis for prosthetic valve endocarditis complicated by aortic-root pseudoaneurysm after subcoronary technique; report of a case

We report a surgical case of prosthetic valve endocarditis( PVE) after aortic valve replacement with a Freestyle stentless bioprosthesis, which was successfully treated with full root replacement using a Freestyle valve. A 80-year-old man underwent aortic valve replacement with a Freestyle stentless...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 66; no. 6; p. 497
Main Authors Hama, Gentaku, Okada, Yoshiharu, Tsuda, Yasutoshi, Shiratori, Kazuaki, Takemura, Takahiro
Format Journal Article
LanguageJapanese
Published Japan 01.06.2013
Subjects
Aged, 80 and over
Aneurysm, False - complications
Aortic Diseases - complications
Aortic Valve - surgery
Aortic Valve Stenosis - surgery
Bioprosthesis
Endocarditis - surgery
Humans
Male
Prosthesis-Related Infections - surgery
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Summary:We report a surgical case of prosthetic valve endocarditis( PVE) after aortic valve replacement with a Freestyle stentless bioprosthesis, which was successfully treated with full root replacement using a Freestyle valve. A 80-year-old man underwent aortic valve replacement with a Freestyle stentless bioprosthesis, using subcoronary technique for aortic stenosis in 2004. Three years later he had late PVE, and we found the aortic-root pseudoaneurysm. Although homografts are the optimal for cases of severe aortic annular destruction, availability of these are limited in Japan. We chose a Freestyle valve with full root technique, which fitted well to the destroyed annulus. The postoperative course was uneventful. Freestyle stentless bioprosthesis can be useful option for PVE, meanwhile care should be taken to dead cavity between prosthesis and aortic wall in the subcoronary technique.
ISSN:0021-5252