Key result
Modified monobloc reconstruction using sutured bioprostheses adapts to variable anatomy in destructive aorto-mitral endocarditis.
Why the study?
Surgery for endocarditis of the aorto-mitral continuity can be challenging when there is extensive tissue destruction.
Case Report (n=2)
A modified monobloc reconstruction using two sutured bioprostheses and a pericardial patch provides a viable technical solution for severe aorto-mitral endocarditis with extensive tissue destruction.
May offer a reconstructive option in destructive aorto-mitral endocarditis; leaves open durability, reproducibility, and outcomes in larger series.
Surgery for endocarditis of the aorto-mitral continuity can be a challenge in case of extensive tissue destruction. We report two cases of a modified monobloc reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous body. Two valve bioprostheses were sutured to each other and implanted as a composite graft. A pericardial patch sutured to the valves was employed to reconstruct both the noncoronary sinus and the left atrial roof. This technical adjustment allows adaptation to variable anatomical conditions in these particularly difficult cases.
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Blossac et al. (2023) conducted a case report in Endocarditis of the aorto-mitral continuity (n=2). Modified monobloc reconstruction of the aortic and mitral valves was evaluated on Technical feasibility and adaptation to anatomical conditions. A modified monobloc reconstruction using two sutured valve bioprostheses and a pericardial patch allowed adaptation to variable anatomical conditions in two cases of destructive aorto-mitral endocarditis.
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