Document Detail


Composite graft endocarditis: repair with a mechanical prosthesis.
MedLine Citation:
PMID:  15562854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 64-year-old man who developed a mediastinal pseudoaneurysm due to severe endocarditis, 2 years after aortic root replacement with a prosthetic composite graft containing a mechanical valve. After a short period of stabilization and antibiotic therapy, the patient underwent surgery. The coronary buttons and the sewing ring of the composite graft were found to be detached from the graft and the annulus, respectively. Re-replacement with a prosthetic composite graft (Dacron graft with a mechanical valve) by the Cabrol procedure was performed. Although the homograft is considered by many surgeons to be the best graft for aortic root replacement, the synthetic composite graft can also be used to treat composite graft endocarditis successfully. The technical aspects of homograft versus synthetic aortic root replacement in patients with endocarditis are discussed briefly.
Authors:
Anil Z Apaydin; Hakan Posacioglu; Fatih Islamoglu; Kenan Degirmenciler; Isa Durmaz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  31     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2004  
Date Detail:
Created Date:  2004-11-25     Completed Date:  2004-12-30     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  306-8     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Ege University Medical School, Bornova-Izmir 35100, Turkey. apaydina@med.ege.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Aorta, Thoracic / surgery
Aortic Valve / surgery
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / methods
Endocarditis, Bacterial / microbiology,  surgery*
Heart Valve Prosthesis / adverse effects*
Heart Valve Prosthesis Implantation / methods
Humans
Male
Middle Aged
Polyethylene Terephthalates
Prosthesis-Related Infections / etiology,  surgery*
Staphylococcal Infections / etiology,  surgery*
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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