Endocarditis Involving a Left Ventricular Apicoaortic Valve-Bearing Conduit

Pm, Shea; Tl, Folkerth; Wv, Vieweg; Sw, Berg; Wo, Harrison

doi:10.1097/00007611-197907000-00035

Cited by 2 publications

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“…2,7 Very few infectious complications in these conduits have been reported as case reports or series. 4,8 This report underscores the important clinical point that retained AAC material can become a nidus for infection at any time in the patient's life. It is highly unlikely that any of these conduits placed in children will be functional into adulthood.…”

Section: Commentmentioning

confidence: 75%

Apical Aortic Conduit Infection 27 Years After Repaired Left Ventricular Outflow Tract Obstruction

Carpenter

Fiore

Huddleston

2014

World J Pediatr Congenit Heart Surg

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Left ventricle to aortic conduits were used for the treatment of complex left ventricular outflow tract obstruction in the pediatric population in the mid-1970s. Although this technique has been largely replaced by the Ross-Konno procedure, many patients still have functioning apicoaortic conduits in place today. Few clinical reports or case series exist in pediatric cohorts documenting the natural history or potential long-term complications of this prosthesis. In this report, we describe our experience managing a patient with Shone's syndrome and an apical aortic porcine-valved conduit remnant that became infected 17 years postconduit valve excision for valvular insufficiency.

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Section: Commentmentioning

confidence: 75%

Apical Aortic Conduit Infection 27 Years After Repaired Left Ventricular Outflow Tract Obstruction

Carpenter

Fiore

Huddleston

2014

World J Pediatr Congenit Heart Surg

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Apicoaortic Conduits

Nance

Barraza

Henzler

et al. 2012

Journal of Thoracic Imaging

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Left ventricular apex to descending aorta conduits may be used as a last resort treatment of severe left ventricular outflow tract obstruction in cases in which alternative therapies are contraindicated. Although this technique is rarely used in current practice for congenital cases, its use in the elderly population is increasing, largely due to the expansion of this patient cohort and associated comorbidities precluding aortic valve replacement, the most common of which are a severely calcified "porcelain" aorta and/or previous coronary artery bypass grafts preventing aortic root manipulation. Diagnostic imaging is essential in the presurgical workup and subsequent follow-up of these patients, as complications of the procedure are potentially life threatening and are not rare. Several imaging modalities may be used, each with advantages and disadvantages. Both anatomic and functional assessments play a role in the comprehensive evaluation of both presurgical and postsurgical patients.

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Endocarditis Involving a Left Ventricular Apicoaortic Valve-Bearing Conduit

Cited by 2 publications

References 0 publications

Apical Aortic Conduit Infection 27 Years After Repaired Left Ventricular Outflow Tract Obstruction

Apical Aortic Conduit Infection 27 Years After Repaired Left Ventricular Outflow Tract Obstruction

Apicoaortic Conduits

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