Modified Danielson Technique for Prosthetic Aortic Valve Endocarditis and Aortoventricular Discontinuity.

Szczegóły
Abstrakt

Tytuł:: Modified Danielson Technique for Prosthetic Aortic Valve Endocarditis and Aortoventricular Discontinuity.
Autorzy:: Filippone G; Division of Cardiac Surgery, University of Palermo, 90127 Palermo, Italy.
Calia C; Division of Cardiac Surgery, University of Palermo, 90127 Palermo, Italy.
Finazzo M; Division of Radiology, University of Palermo, 90127 Palermo, Italy.
Fazzari F; Division of Cardiology, University of Palermo, 90127 Palermo, Italy.
Caruana G; Division of Radiology, University of Palermo, 90127 Palermo, Italy.
Argano V; Division of Cardiac Surgery, University of Palermo, 90127 Palermo, Italy.
Źródło:: Texas Heart Institute journal [Tex Heart Inst J] 2020 Apr 01; Vol. 47 (2), pp. 117-120.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Houston, TX : published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, c1982-
MeSH Terms:: Aortic Valve/*surgery
Cardiac Surgical Procedures/*methods
Endocarditis, Bacterial/*surgery
Prosthesis-Related Infections/*surgery
Aged ; Aortic Valve/diagnostic imaging ; Echocardiography/methods ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/etiology ; Heart Valve Prosthesis/adverse effects ; Humans ; Male ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/etiology ; Reoperation
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Contributed Indexing:: Keywords: Aortic valve, surgery; endocarditis, bacterial/surgery; prosthesis-related infections/surgery; reconstructive surgical procedures/methods; ventricular outflow obstruction/surgery
Entry Date(s):: Date Created: 20200701 Date Completed: 20210831 Latest Revision: 20210831
Update Code:: 20240105
PubMed Central ID:: PMC7328075
DOI:: 10.14503/THIJ-17-6506
PMID:: 32603453
: Czasopismo naukowe

Pełny tekst

Endocarditis is a devastating complication of prosthetic aortic valve replacement. The infective process can destroy aortic annulus tissue, making conventional surgical valve replacement difficult or impossible and causing aortoventricular discontinuity. Several treatment techniques have been proposed. One of these, the Danielson technique, involves translocating the aortic valve to the native ascending aorta, débriding the abscess cavity, closing the coronary ostia, and bypassing the coronary arteries with a Y anastomosis between 2 vein grafts. We describe our use of a modified Danielson technique in a 68-year-old man with advanced prosthetic valve endocarditis that was associated with aortic annulus destruction and aortoventricular discontinuity. This modified technique enables safer, more secure anchoring of a replacement valve, reduces the risks and concerns associated with bypass grafts, and successfully treats aortoventricular discontinuity.
(© 2020 by the Texas Heart® Institute, Houston.)

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