| Reoperation for mid-term failure of a freestyle bioprosthesis using a full root technique --a surgical case--. | |
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MedLine Citation:
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PMID: 21697792 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aortic root of a 30-year-old man was replaced with a Freestyle stentless aortic bioprosthesis for aortic regurgitation associated with annuloaortic ectasia. His clinical course was uneventful, and he was discharged without complications. Three years and six months after surgery, he presented with a high fever. Four years after surgery, transthoracic echocardiography revealed severe aortic regurgitation. We performed exploratory surgery and discovered a torn left coronary cusp of the Freestyle bioprosthesis. Organized vegetation was adherent to the left coronary cusp leaflet. The non-coronary cusp and the right coronary cusp were normal. The diagnosis was aortic regurgitation due to valve failure related to infective endocarditis. Consequently, we reconstructed the aortic root with a composite graft (26-mm Valsalva graft and a 21-mm ON-X mechanical valve). |
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Authors:
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Hiromasa Nakamura; Hiroki Yamaguchi; Tatsuya Nakao; Yu Oshima; Noriyuki Tokunaga; Mikiko Murakami; Shinichi Mitsuyama |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 17 ISSN: 2186-1005 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2011 |
Date Detail:
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Created Date: 2011-06-23 Completed Date: 2011-10-24 Revised Date: 2012-06-18 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 287-9 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Shin Tokyo Hospital, Matsudo, Chiba, Japan. nakamurakin-ths@umin.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aortic Valve Insufficiency / surgery*, ultrasonography Bioprosthesis / adverse effects* Echocardiography, Transesophageal Endocarditis / microbiology, surgery*, ultrasonography Heart Valve Prosthesis / adverse effects* Heart Valve Prosthesis Implantation / adverse effects*, instrumentation Humans Male Prosthesis Design Prosthesis Failure* Prosthesis-Related Infections / microbiology, surgery*, ultrasonography Reoperation Streptococcus / isolation & purification Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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