Surgery for endocarditis of the aorto-mitral continuity can be a challenge in
case of extensive tissue destruction. We report two cases of a modified monobloc
reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous
body. Two valve bioprostheses were sutured to each other and implanted as a
composite graft. A pericardial patch sutured to the valves was employed to
reconstruct both the noncoronary sinus and the left atrial roof. This technical
adjustment allows adaptation to variable anatomical conditions in these
particularly difficult cases.
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