Outcomes in Aortic and Mitral Valve Replacement With Intervalvular Fibrous Body Reconstruction

Forteza, Alberto; Centeno, Jorge Antônio Silva; Ospina, Victor; Lunar, I. García; Sánchez, Violeta; Pérez, Enrique; López, María Jesús Martín; Cortina, José M.

doi:10.1016/j.athoracsur.2014.09.052

Cited by 47 publications

(50 citation statements)

References 18 publications

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“…W przypadku zajęcia zastawki mitralnej ropnie okołozastawkowe zazwyczaj są zlokalizowane do tyłu lub bocznie od pierścienia zastawki [228]. W IZW zastawki aortalnej okołozastawkowe szerzenie się zakażenia najczęściej przebiega wzdłuż ciągłości mitro--aortalnej [229]. Na podstawie powtarzanych seryjnie badań echokardiograficznych wykazano, że tworzenie się ropnia stanowi dynamiczny proces, rozpoczynający się zgrubieniem ściany opuszki aorty i rozszerzający się stopniowo, aż do powstania przetoki [229].…”

Section: Okołozastawkowe Szerzenie Się Infekcyjnego Zapalenia Wsierdziaunclassified

“…W IZW zastawki aortalnej okołozastawkowe szerzenie się zakażenia najczęściej przebiega wzdłuż ciągłości mitro--aortalnej [229]. Na podstawie powtarzanych seryjnie badań echokardiograficznych wykazano, że tworzenie się ropnia stanowi dynamiczny proces, rozpoczynający się zgrubieniem ściany opuszki aorty i rozszerzający się stopniowo, aż do powstania przetoki [229]. W jednym z badań wykazano, że najważniejszymi czynnikami ryzyka powikłań okołozastaw-kowych są obecność sztucznej zastawki, zajęcie zastawki aortalnej i zakażenie CoNS [230].…”

Section: Okołozastawkowe Szerzenie Się Infekcyjnego Zapalenia Wsierdziaunclassified

See 1 more Smart Citation

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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Section: Okołozastawkowe Szerzenie Się Infekcyjnego Zapalenia Wsierdziaunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

View full text Add to dashboard Cite

“…Although the overall operative morbidity and mortality is of this procedure is high (4,5,11), it continues to remain the only option for patients presenting with destroyed or heavily calcified aortic and mitral annuli.…”

Section: Commentsmentioning

confidence: 99%

“…He replaced the mitral and aortic valves and reconstructed the IVFB using a Dacron patch (2). The Toronto group and others later published larger series of patients undergoing this operation for a variety of pathologies such as extensive, infective endocarditis, severe aortic and mitral annular calcification and patients with small annuli requiring double valve replacement (3)(4)(5)(6)(7). Some of these studies also included surgical modifications like en-block replacement of the aorto-mitral curtain (6), or the use of a homograft in the aortic position (7).…”

Section: Introductionmentioning

confidence: 99%

The “UFO” procedure

Misfeld

Davierwala

Borger

et al. 2019

Ann. Cardiothorac. Surg.

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The term "UFO" is not a medical term, but helps emphasize the extremely high degree of complexity of a surgical repair that is akin to someone observing an unidentified flying object. It involves replacement of the mitral and aortic valves with reconstruction of the intervalvular fibrous body (IVFB). Specific pathologies that render this operation necessary usually involve the IVFB, which is located between the aortic and mitral valves and constitutes a major portion of the fibrous skeleton of the heart. Patients that most often require such an operation are those with extensive aortic and mitral valve endocarditis with perivalvular extension into the IVFB. Other infrequent situations such as severe aortic and mitral annular calcification involving the IVFB, double valve replacement in patients with extremely small aortic and mitral annuli or double valve reoperations in which no IVFB is available following excision of both valves, necessitating the UFO procedure. The basic surgical principle has been first described as early as 1980. Depending on the extent of excised tissue due to the underlying disease, modifications and additional complex repair techniques have to be adopted. It is of utmost importance to have adequate visibility and exposure. There are certain important structures, which are at a risk of either injury or neglect, that can result in development of life-threatening complications during this operation, which a surgeon should be aware of. A step by step description of the "UFO" procedure can help guide the surgeon to perform this operation safely and efficiently. Although clinical complications are high, they are often related to the underlying disease and not specifically to the procedure itself, if performed perfectly.

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“…In our series, one patient required extension of the anterior mitral leaflet using autologous pericardium. A very challenging operation, indicated by the reconstruction of mitral-aortic continuity, is necessary if both the left fibrous trigone and central fibrous body appear completely destroyed [18][19][20]. This challenge can be overcome by suturing the aortic and mitral prostheses together with interposition of a Teflon strip.…”

Section: Interventional Cardiology Journal Issn 2471-8157mentioning

confidence: 99%

Surgical Treatment of Valvular Infective Endocarditis Complicated by An Abscess: A Single Center’s Experience

Picichè¹,

Ranocchi²,

Fiorani³

et al. 2017

Interv Cardiol J

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Objectives: To examine the surgical treatment and mortality rate of valvular infective endocarditis complicated by an abscess in patients at a major tertiary care center.Background: Infective endocarditis (IE) involving a heart valve is fatal if left untreated. The appearance of a comorbid abscess impacts the choice of treatment and surgical technique and, in some instances, may present unique technical challenges.

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Outcomes in Aortic and Mitral Valve Replacement With Intervalvular Fibrous Body Reconstruction

Cited by 47 publications

References 18 publications

2015 ESC Guidelines for the management of infective endocarditis

2015 ESC Guidelines for the management of infective endocarditis

The “UFO” procedure

Surgical Treatment of Valvular Infective Endocarditis Complicated by An Abscess: A Single Center’s Experience

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