Aortic root replacement with cryopreserved allograft for prosthetic valve endocarditis

2015 ESC Guidelines for the management of infective endocarditis

“…Rodzaj implantowanej zastawki nie wpływa na ryzyko ponownego wystąpienia IZW [325,331]. Wymiana zastawki aortalnej i opuszki aorty z wykorzystaniem sztucznego konduitu wiąże się z takim samym ryzykiem jak implantacja homograftu [335,336].…”

2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

“…One possible advantage of homografts is in the avoidance of early endocarditis and in the treatment of aortic valve endocarditis, [893][894][895][896] particularly complex aortic root endocarditis, although the literature does not demonstrate the superiority of any single prosthesis in these situations. 852,[897][898][899][900] The risk of thromboembolism is very low after homograft implantation, and hemodynamic efficiency is excellent even in small sizes.…”

Aortic Valve Endocarditis

“…Although no conclusive data is available comparing homografts and prosthetic valves with respect to durability and risk of recurrent IE, current data from surgical series indicate satisfactory results with the use of homografts (Riberi et al, 1997). Another indication for use of homograft is PVE which represents a difficult operation with need of extensive removal of necrotic tissue and debris (Sabik et al, 2002). A recent study compared 5-year survival rate for different valve implant types.…”