Korean J Thorac Cardiovasc Surg.  2019 Apr;52(2):109-111. 10.5090/kjtcs.2019.52.2.109.

Late Reoperation Following Ligation of the Left Main Coronary Artery in a Patient with Infective Endocarditis

• Yoon DW
• Lee SO
• Park PW

• KMID: 2447611
• DOI: http://doi.org/10.5090/kjtcs.2019.52.2.109

Abstract

We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.

Keyword

Endocarditis; Coronary artery bypass; Reoperation

MeSH Terms

Allografts
Coronary Artery Bypass
Coronary Vessels*
Drainage
Endocarditis*
Female
Heart Arrest, Induced
Humans
Hypothermia
Ligation*
Mammary Arteries
Reoperation*
Tricuspid Valve