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KMID : 0364020140470030283
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Korean Journal of Thoracic and Cardiovascular Surgery
2014 Volume.47 No. 3 p.283 ~ p.286
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Aortic Periannular Abscess Invading into the Central Fibrous Body, Mitral Valve, and Tricuspid Valve
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Oh Hyun-Kong
Kim Nan-Yeol
Kang Min-Woong
Kang Shin-Kwang
Yu Jae-Hyeon
Lim Seung-Pyung
Choi Jae-Sung
Na Myung-Hoon
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Abstract
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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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KEYWORD
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Endocarditis, Aortic root, Aortic valve, Central fibrous body
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