Oh, Hyun Kong
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
,
Kim, Nan Yeol
(Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School)
,
Kang, Min-Woong
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
,
Kang, Shin Kwang
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
,
Yu, Jae Hyeon
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
,
Lim, Seung Pyung
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
,
Choi, Jae Sung
(Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center)
,
Na, Myung Hoon
(Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was ex...
A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was executed from the aortic annulus at NCS down to the central fibrous body and annulus of the MV and the TV, followed by the left ventricular outflow tract reconstruction with implantation of a mechanical aortic valve by using a leaflet of the half-folded elliptical bovine pericardial patch. Another leaflet of this patch was used for the repair of the right atrial wall with a defect and the TV.
A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was executed from the aortic annulus at NCS down to the central fibrous body and annulus of the MV and the TV, followed by the left ventricular outflow tract reconstruction with implantation of a mechanical aortic valve by using a leaflet of the half-folded elliptical bovine pericardial patch. Another leaflet of this patch was used for the repair of the right atrial wall with a defect and the TV.
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제안 방법
The MV itself was intact and had no vegetation. The reconstruction of the LVOT was performed with half-folded elliptical bovine pericardium (Peri-Guard; Synovis Surgical Innovation, St. Paul, MN, USA) (Fig. 3). The bovine pericardium was trimmed into an elliptical shape and a half-fold was made; then, its base was secured by interrupted suturing to the annulus of the MV by using reinforcement with a Teflon felt, followed by LVOT reconstruction using a leaflet of the half-folded elliptical bovine patch with aortic valve implantation concomitantly using a 21-mm mechanical valve (SJM Masters Series Valve; St.
대상 데이터
A 61-year-old man complaining of syncope and chest pain came to our hospital. Ten days prior to hospitalization, he had had a fever, chills, and body ache.
성능/효과
In conclusion, in the reconstruction of the LVOT with a defect, right fibrous trigone, and TV in the infective endocarditis, one half-folded elliptical pericardial patch could be a useful option to repair both the LVOT and the right-side area with a defect.
참고문헌 (5)
1 Anguera I Miro JM Cabell CH Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database Am J Cardiol 2005 96 976 81 16188527
2 Moore KL Dalley AF Agur AM Heart Moore KL Dalley AF Agur AM Clinically oriented anatomy 6th ed Philadelphia Wolters Kluwer/Lippincott Williams & Wilkins 2010 135 59
3 David TE Kuo J Armstrong S Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body J Thorac Cardiovasc Surg 1997 114 766 71 9375606
4 Kameyama T Ando F Okamoto F Hanada M Sasahashi N A brimmed valved conduitin repair of fibrous skeleton abscess Ann Thorac Surg 1998 66 2108 10 9930509
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