Korean J Thorac Cardiovasc Surg.  2013 Jun;46(3):208-211. 10.5090/kjtcs.2013.46.3.208.

Use of a Valved-Conduit for Exclusion of the Infected Portion in the Prosthetic Pulmonary Valve Endocarditis

• Jung J
• Hong YS
• Lee CJ
• Lim SH
• Choi H
• Park SJ

• KMID: 1427792
• DOI: http://doi.org/10.5090/kjtcs.2013.46.3.208

Abstract

A 51-year-old male was admitted to the hospital with complaints of fever and hemoptysis. After evaluation of the fever focus, he was diagnosed with pulmonary valve infective endocarditis. Thus pulmonary valve replacement and antibiotics therapy were performed and discharged. He was brought to the emergency unit presenting with a high fever (>39degrees C) and general weakness 6 months after the initial operation. The echocardiography revealed prosthetic pulmonary valve endocarditis. Therefore, redo-pulmonary valve replacement using valved conduit was performed in the Rastelli fashion because of the risk of pulmonary arterial wall injury and recurrent endocarditis from the remnant inflammatory tissue. We report here on the successful surgical treatment of prosthetic pulmonary valve endocarditis with an alternative surgical method.

Keyword

Endocarditis; Pulmonary valve; Prosthetic valve endocarditis

MeSH Terms

Anti-Bacterial Agents
Echocardiography
Emergencies
Endocarditis
Fever
Hemoptysis
Humans
Male
Pulmonary Valve
Anti-Bacterial Agents