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Ann Thorac Surg. 2013 May;95(5):1789-91. doi: 10.1016/j.athoracsur.2012.09.046.

Infected calcified homograft root: a sutureless solution.

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  • 1Department of Cardiothoracic Surgery, St. Bartholomew's Hospital, London, United Kingdom. pritygupta@hotmail.com

Abstract

Aortic valve reoperation after homograft root implantation is high risk and may be technically challenging. Dense calcification of the annulus may prevent suture placement and often necessitates impromptu high-risk redo root replacement. Although transcutaneous aortic valve implantation is an attractive option in such scenarios, in the context of endocarditis it is contraindicated. We describe a novel approach to aortic valve replacement in a patient with infective endocarditis of a heavily calcified homograft root, using a sutureless valve. This approach successfully avoided the need for redo root replacement with its attendant risks.

Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

[PubMed - indexed for MEDLINE]
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