Key result
The Ross operation was successfully performed as a life-saving treatment for a patient with prosthetic aortic valve endocarditis complicated by aortitis syndrome.
Case Report (n=1)
No
The Ross operation can be a viable and effective surgical option for treating complex prosthetic aortic valve endocarditis with annular abscess in patients with aortitis syndrome.
Supports Ross operation in select aortitis-associated endocarditis cases; hypothesis-generating and should not yet change practice.
症例は60歳男性．2年前に大動脈炎症候群による大動脈弁閉鎖不全症，上行大動脈拡大に対して，大動脈弁置換術，上行大動脈置換術を受けた．以後ステロイドの内服を行いながら外来通院していたが，小脳梗塞で入院した．人工弁感染による弁輪部膿瘍と診断され，準緊急手術を施行した．手術では破壊された弁輪部を郭清・修復後，Ross手術を行い救命した．Ross手術は大動脈弁位人工弁感染に対する選択肢の一つと考えられた．
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Kadowaki et al. (2009) conducted a case report in Prosthetic aortic valve endocarditis with aortitis syndrome (n=1). Ross operation was evaluated on Survival and successful treatment of endocarditis. The Ross operation was successfully performed as a life-saving treatment for a patient with prosthetic aortic valve endocarditis complicated by aortitis syndrome.
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