Document Detail


Reoperation for mid-term failure of a freestyle bioprosthesis using a full root technique --a surgical case--.
MedLine Citation:
PMID:  21697792     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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).
Authors:
Hiromasa Nakamura; Hiroki Yamaguchi; Tatsuya Nakao; Yu Oshima; Noriyuki Tokunaga; Mikiko Murakami; Shinichi Mitsuyama
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2011-06-23     Completed Date:  2011-10-24     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  287-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Shin Tokyo Hospital, Matsudo, Chiba, Japan. nakamurakin-ths@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
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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