Recurrent Aortic Prosthetic Valve Endocarditis: A Radical Additional Anatomical Solution

Abstract

Recurrent prosthetic valve endocarditis, especially when characterized by annular abscess and aortic root destruction, remains a surgical challenge. A radical and aggressive surgical treatment is required preventing recurrent infection. Homograft implants are still thought to be the best surgical option, but they are not always available and their use in younger patient remains controversial. We propose an additional anatomical surgical technique, which consists in the implantation of a composite graft in the left ventricular outflow tract, well below the native aortic annulus, and then the direct reimplantation of coronary ostia.

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

“…This scenario is frequently also complicated by a history of prior cardiac procedures, since endocarditis may attack prosthetic valves [11], as we observed in eight of the 14 patients in our series. Other typical IE lesions are vegetations the most common lesion-as well as pseudo-aneurysms, perforations, fistulas, valve aneurysms, and prosthetic heart…”

Massive Bleeding After Median Sternotomy: Case Report of an Infrequent Complication of Infective Endocarditis

“…Periannular tissue destruction, abscess formation, prosthesis dehiscence, presence of vegetation and pseudoaneurism formation are serious complications associated with a high mortality rate [4]. In addition, composite graft IE after aortic root replacement can be a lifethreating complication, and recurrent valve IE remains a surgical challenge because a more radical and aggressive surgical treatment is required to prevent a recurrent infection [3,8].…”