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KMID : 0364020080410060755
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 6 p.755 ~ p.758
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Surgical Treatment of Prosthetic Valve Endocarditis after Reconstruction of the Intervalvular Fibrous Trigon -A case report-
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Choi Sun-Woo
Lee Young-Tak
Park Pyo-Won
Min Ho-Gi
Kim Wook-Sung
Kang Min-Woong
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Abstract
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We report here on a case of performing a redo-operation for a 65-years-old male patient who had prosthetic endocarditis after reconstruction of the fibrous skeleton due to infective endocarditis 8 years earlier. An aortic annular abscess with a 1 cm sized subvalvular abscess and mobile mitral valve vegetation with destruction of the fibrous skeleton was shown on the preoperative echocardiography. An emergency operation was performed due to heart failure. Reconstruction of both the aortic and mitral annuli and the fibrous skeleton was done by using two separate bovine pericardial patches and then mechanical valves were implanted. The postoperative echocardiography shows no paravalvular leakage. The patient has been followed up with no symptoms.
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KEYWORD
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Heart valve prosthesis, Endocarditis, Reoperation
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