Abstract
We report an intricate aortic root replacement in a young male patient suffering from native valve infective endocarditis due to Serratia marcescens . Further complicating the total root replacement, there was an unknown infected aortic thrombus and a concomitant anomalous right coronary artery with an intramural course. As a result of our more aggressive approach, we believe that we lowered the risk of recurrent infection of the bioprosthesis of the aortic root.
Highlights
Serratia marcescens is an uncommon causative agent in native valve infective endocarditis.[1]
The patient has had no recurrence of infection for 2 years since surgery. This case report describes an intricate aortic root debridement and replacement in a patient suffering from native valve infective endocarditis due to S. marcescens with infected thrombus, which was unknown before surgery
There are three key points in this case as follows: (1) extensive damage of the aortic root can be caused by S. marcescens that could not be detected preoperatively by routine imaging modalities, (2) anomalous right coronary artery reimplantation as a button can be done after unroofing the intramural course, (3) aortic thrombus in infective endocarditis further complicates the management of infective endocarditis
Summary
Serratia marcescens is an uncommon causative agent in native valve infective endocarditis.[1]. Keywords ► aortic dissection ► anomalous right coronary artery ► endocarditis We report an intricate aortic root replacement in a young male patient suffering from native valve infective endocarditis due to Serratia marcescens.
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