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A customized technique for confluent aortic annular and selective sinus of Valsalva endocarditis.
Barua, Anupama; Nanjaiah, Prakash; Warwick, Richard; Jeeji, Ravish; Balacumaraswami, Lognathen.
Afiliación
  • Barua A; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.
  • Nanjaiah P; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.
  • Warwick R; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.
  • Jeeji R; Department of Cardiothoracic Anaesthesia, University Hospitals North Midlands NHS Trust, Staffordshire, United Kingdom.
  • Balacumaraswami L; Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.
J Surg Case Rep ; 2024(2): rjae089, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38404448
ABSTRACT
We describe a novel technical modification for reoperative aortic valve replacement in destructive recurrent prosthetic aortic valve endocarditis. We encountered complex anatomy in a previously operated aortic root wherein the aortic annulus and the right coronary sinus of Valsalva were destroyed. This precluded secure suture placement. We modified a composite mechanical Valsalva conduit to create a separate sinus of Valsalva left in continuity with the mechanical valve. This approach allowed us to exclude the infected right sinus of Valsalva and the corresponding aortic annulus.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido