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Surgical Considerations for Treatment of Fungal Homograft Endocarditis in Re-re-re-re-do

Fungal endocarditis is associated with high surgical mortality rates. Advanced expertise is required for surgical treatment of this serious condition. In the present report, we describe the homograft replacement in a beating heart during re-re-re-re-do in a 29-year-old female patient with fungal end...

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Detalles Bibliográficos
Autores principales: Peivandi, Armin, Dell'Aquila, Angelo, Kaleschke, Gerrit, Rukosujew, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411118/
https://www.ncbi.nlm.nih.gov/pubmed/37564971
http://dx.doi.org/10.1055/s-0043-1770983
Descripción
Sumario:Fungal endocarditis is associated with high surgical mortality rates. Advanced expertise is required for surgical treatment of this serious condition. In the present report, we describe the homograft replacement in a beating heart during re-re-re-re-do in a 29-year-old female patient with fungal endocarditis. The previous operations included Fallot correction at the age of 1 year, Contegra graft implantation in the right ventricular outflow tract (RVOT) due to severe pulmonary insufficiency, homograft implantation in pulmonary position due to Contegra endocarditis, and on-pump pericardial defect closure after homograft injury during sternal rewiring following wound infection.