Korean J Thorac Cardiovasc Surg.  1997 Aug;30(8):819-822.

Aortic Root Replacement Using Aortic Homograft in Acute Bacterial Endocarditis: one case report

• Lim CY
• Lee HJ
• Kim JE

Abstract

Aortic valve replacement with aortic allograft has been considered a treatment of choice for aortic valve disease secondary to bacterial endocarditis because of its good hemodynamic performance and higher resistance to infection. The aortic root replacement technique might be superior to the subcoronary allograft implantation technique with regard to aortic regurgitation. A 46 years old male patient had acute aortic regurgitation with progressing heart failure secondary to acute bacterial endocarditis. The patient underwent emergent aortic root replacement using 20 mm aortic allograft. At operation, right coronary cusp perforation and heavy calcification of commissure between right and left coronary cusp were observed. The patient recovered well and postoperative echocardiography demonstrated no aortic regurgitation. Inflammatory signs were subsided after 8 weeks of antibiotics therapy. Medically uncontrolled acute bacterial endocarditis was treated successfully by aortic root replacement using aortic homograft.

Keyword

Transplantation, autologous; Endocarditis, bacterial; Aortic root replacement

MeSH Terms

Allografts*
Anti-Bacterial Agents
Aortic Valve
Aortic Valve Insufficiency
Echocardiography
Endocarditis, Bacterial*
Heart Failure
Hemodynamics
Humans
Male
Middle Aged
Transplantation, Autologous
Anti-Bacterial Agents