Pulmonary homograft endocarditis after ross procedure

Grinda, Jean-Michel; Brazille, Patricia; Bricourt, Marie-Odile; Mainardi, Jean–Luc; Gonzales-Canali, Gustavo; Piketti, Christophe

doi:10.1016/j.athoracsur.2003.06.001

Cited by 4 publications

(4 citation statements)

References 12 publications

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“… 7 One report in France identified pulmonary homograft infection occurring 2 years after Ross procedure. 9 Similar to our case, the patient initially presented with fever of unknown origin and negative TEE. Blood cultures were positive for Enterococcus faecalis .…”

Section: Discussionsupporting

confidence: 76%

Infective Endocarditis 2 Decades After Pulmonary Autograft Ross Procedure

Boyer

Upple

Joolhar

et al. 2020

Journal of Investigative Medicine High Impact Case Reports

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Pulmonary autograft, or Ross procedure, is performed by supplanting a diseased aortic valve with the patient’s own pulmonary valve. Reconstruction of the right ventricular outflow tract is then completed using a pulmonary homograft. To our knowledge, infective endocarditis occurring decades after the Ross procedure has not been reported. Diligent echocardiographic examination can be crucial to ensure prompt treatment and avoid the 25% mortality rate associated with infective endocarditis. Clinical suspicion should remain high in those with a pulmonary autograft history. In this article, we report the case of a 39-year-old patient with infective endocarditis presenting 22 years after Ross procedure.

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Section: Discussionsupporting

confidence: 76%

Infective Endocarditis 2 Decades After Pulmonary Autograft Ross Procedure

Boyer

Upple

Joolhar

et al. 2020

Journal of Investigative Medicine High Impact Case Reports

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“…Of the 84 St. Jude valves placed by us for SE in our series, only 3 (3.6%) valves developed PVE, occurring in only two patients. Homografts in this and other studies, and even pulmonary autografts, are not without risk for recurrent endocarditis 15,16 . An increasing body of literature attests to the safety and resilience to infection of mechanical valves in the face of infective endocarditis, even with annular abscesses 5,15,17–19 .…”

Section: Discussionmentioning

confidence: 59%

“…Homografts in this and other studies, and even pulmonary autografts, are not without risk for recurrent endocarditis. 15,16 An increasing body of literature attests to the safety and resilience to infection of mechanical valves in the face of infective endocarditis, even with annular abscesses. 5,15,[17][18][19] Stentless aortic valves have also been suggested as an alternative to homografts for valve replacement in endocarditis with ring abscess.…”

Section: Discussionmentioning

confidence: 99%

Clinical Patterns of Surgical Endocarditis

et al. 2007

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“…Of those occurring within the first year, one patient died and two underwent reoperations, of whom one also died [4]. Further cases of PHE have been described secondary to Enterococcus faecalis [5], Staphylococcus epidermidis [6] and also in the context of combined autograft and homograft endocarditis by Streptococcus gordonii [7] at 2, 3 and 4 years post-Ross, respectively. The first of these three cases was in a previous intravenous drug abuser with a history of retroviral disease who had an initial procedure for endocarditis, the second developed endocarditis six months after percutaneous stenting of a regurgitant pulmonary valve 3 years after the initial Ross procedure.…”

mentioning

confidence: 99%