Key result
Reconstruction of aorto-mitral continuity with a handmade aorto-mitral bioprosthetic valve allowed a patient with extensive bivalvular endocarditis to be discharged on the 30th postoperative day.
Case Report (n=1)
A handmade aorto-mitral bioprosthetic valve can be successfully used to reconstruct the defect after extensive debridement in severe bivalvular endocarditis.
Hypothesis-generating for handmade aorto-mitral reconstruction in complex endocarditis; larger series needed before clinical consideration.
Surgical treatment is effective to exclude all infected tissue in patients with infective endocarditis. Although various techniques have been reported, it has remained a great challenge for patients with extensive infected regions. A patient with extensive bivalvular endocarditis including the aortic and mitral valve and aorto-mitral continuity is described. A handmade aorto-mitral bioprosthetic valve was created to reconstruct the defect after extensive debridement. The patient was discharged on the 30th postoperative day without inflammatory signs.
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Tedoriya et al. (2012) conducted a case report in Extensive bivalvular endocarditis (n=1). Reconstruction of aorto-mitral continuity with a handmade aorto-mitral bioprosthetic valve was evaluated on Discharge without inflammatory signs. Reconstruction of aorto-mitral continuity with a handmade aorto-mitral bioprosthetic valve allowed a patient with extensive bivalvular endocarditis to be discharged on the 30th postoperative day.
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