Exclusion of Complex Paraannular Aortic Abscess With the Freestyle Xenograft

Julien Guihaire; Martin Kloeckner; Philippe Deleuze

doi:10.1016/j.athoracsur.2016.04.015

Exclusion of Complex Paraannular Aortic Abscess With the Freestyle Xenograft

Ann Thorac Surg. 2016 Oct;102(4):e373-5. doi: 10.1016/j.athoracsur.2016.04.015.

Authors

Julien Guihaire¹, Martin Kloeckner², Philippe Deleuze²

Affiliations

¹ Department of Adult Cardiac Surgery, Marie Lannelongue Hospital, University of Paris Sud, Le Plessis Robinson, France. Electronic address: j.guihaire@ccml.fr.
² Department of Adult Cardiac Surgery, Marie Lannelongue Hospital, University of Paris Sud, Le Plessis Robinson, France.

PMID: 27645988
DOI: 10.1016/j.athoracsur.2016.04.015

Abstract

Destructive aortic valve endocarditis is a serious condition that can result in aortoventricular disjunction. The appropriate surgical approach for severe excavating lesions remains a matter of debate. Homografts, prosthetic valves associated with a pericardial patch for annulus repair, and prosthetic valve conduits can be used. We report the technical issue of subcoronary inclusion of the full root Freestyle xenograft for complicated aortic endocarditis extending to the left ventricular outflow tract.

MeSH terms

Abscess / diagnostic imaging
Abscess / surgery*
Aortic Valve / microbiology
Aortic Valve / pathology
Aortic Valve / surgery*
Bioprosthesis*
Cardiopulmonary Bypass / methods
Combined Modality Therapy
Endocarditis / microbiology
Endocarditis / surgery*
Heart Valve Prosthesis Implantation / methods
Heterografts / transplantation*
Humans
Risk Assessment
Severity of Illness Index
Suture Techniques
Treatment Outcome
Vascular Surgical Procedures / methods
Ventricular Outflow Obstruction / prevention & control