Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis

BACKGROUND: Prosthetic valve endocarditis (PVE) is a serious complication, and it is difficult to treat marked adhesion and infectious tissue. CASE PRESENTATION: There were four patients with aortic PVE, whose ages ranged from 59 to 80 years. In all patients, transoesophageal echocardiography reveal...

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Autores principales: Matsuzaki, Kanji, Iguchi, Yusuke, Tsukada, Toru, Imai, Akito, Konishi, Taisuke, Watanabe, Yasunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249640/
https://www.ncbi.nlm.nih.gov/pubmed/32450792
http://dx.doi.org/10.1186/s12872-020-01518-w
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author Matsuzaki, Kanji
Iguchi, Yusuke
Tsukada, Toru
Imai, Akito
Konishi, Taisuke
Watanabe, Yasunori
author_facet Matsuzaki, Kanji
Iguchi, Yusuke
Tsukada, Toru
Imai, Akito
Konishi, Taisuke
Watanabe, Yasunori
author_sort Matsuzaki, Kanji
collection PubMed
description BACKGROUND: Prosthetic valve endocarditis (PVE) is a serious complication, and it is difficult to treat marked adhesion and infectious tissue. CASE PRESENTATION: There were four patients with aortic PVE, whose ages ranged from 59 to 80 years. In all patients, transoesophageal echocardiography revealed periannular abscess formation. We applied aortic annular enlargement techniques using a composite three-layer patch to repair the defects after radical debridement of the abscesses, and then replaced the prosthetic valves on the reconstructed annuli. All patients received antibiotics after surgery and recovered well without recurrence. CONCLUSIONS: The aortic annular enlargement techniques provided a good field of vision at the complicated annulus, and our original patch was useful for repairing the aortic annulus and its surrounding apparatus.
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spelling pubmed-72496402020-06-04 Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis Matsuzaki, Kanji Iguchi, Yusuke Tsukada, Toru Imai, Akito Konishi, Taisuke Watanabe, Yasunori BMC Cardiovasc Disord Case Report BACKGROUND: Prosthetic valve endocarditis (PVE) is a serious complication, and it is difficult to treat marked adhesion and infectious tissue. CASE PRESENTATION: There were four patients with aortic PVE, whose ages ranged from 59 to 80 years. In all patients, transoesophageal echocardiography revealed periannular abscess formation. We applied aortic annular enlargement techniques using a composite three-layer patch to repair the defects after radical debridement of the abscesses, and then replaced the prosthetic valves on the reconstructed annuli. All patients received antibiotics after surgery and recovered well without recurrence. CONCLUSIONS: The aortic annular enlargement techniques provided a good field of vision at the complicated annulus, and our original patch was useful for repairing the aortic annulus and its surrounding apparatus. BioMed Central 2020-05-25 /pmc/articles/PMC7249640/ /pubmed/32450792 http://dx.doi.org/10.1186/s12872-020-01518-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Matsuzaki, Kanji
Iguchi, Yusuke
Tsukada, Toru
Imai, Akito
Konishi, Taisuke
Watanabe, Yasunori
Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title_full Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title_fullStr Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title_full_unstemmed Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title_short Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
title_sort aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249640/
https://www.ncbi.nlm.nih.gov/pubmed/32450792
http://dx.doi.org/10.1186/s12872-020-01518-w
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