Abstract
BackgroundSurgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands.Case presentationHerein, we describe a case of a 71-year-old female patient who presented with PVE that was further complicated by a fistulous abscess cavity. The patient underwent removal of the dehisced prosthetic valve, radical annular debridement, reconstruction of the aortomitral curtain with a pericardial patch as a patch exclusion technique and implantation of a sutureless valve.ConclusionPatch exclusion technique, followed by sutureless valve implantation, might represent a feasible and safe alternative for the surgical treatment of complicated PVE.
Highlights
Surgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands.Case presentation: we describe a case of a 71-year-old female patient who presented with PVE that was further complicated by a fistulous abscess cavity
We describe a case of sutureless aortic valve replacement (AVR) in a patient with PVE with destruction of the aortic root and spreading of the infectious process in the aortomitral curtain (AMC) with concomitant abscess formation and fistulization
Transesophageal echocardiography (TEE) revealed moderate stenosis of the previous prosthesis with paravalvular leak, preserved ejection fraction (EF) and the presence of an abscess cavity extending from the nonand the left coronary cusp to the roof of the left atrium
Summary
Patch exclusion technique, followed by sutureless valve implantation, might represent a feasible and safe alternative for the surgical treatment of complicated PVE.
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