Successful repair of aortic valve perforation in pediatric Libman–Sacks endocarditis

Aortic valve perforation in bacterial endocarditis.

Aortic valve repair for active infective endocarditis.

Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Eur Heart J 2009;30:2369–413. [4] Grinda JM, Mainardi JL, D’Attellis N, Bricourt MO, Berrebi A, Fabiani JN et al. Cryopreserved aortic viable homograft for active aortic endocarditis. Ann Thorac Surg 2005;79:767–71. [5] Schafers HJ, Bierbach B, Aicher D. A new approach to the assessment of aortic cus...

Aortic valve leaflet perforation after mitral valve repair.

A 32-year-old patient with symptomatic severe aortic regurge, 6 weeks after mitral valve repair, was admitted for aortic valve surgery. No preoperative clinical data consistent with infective endocarditis could be detected. Preoperative transthoracic echocardiography showed aortic leaflet perforation affecting non coronary cusp. During operation, leaflet perforation was detected and closed comp...

A rare case of prosthetic aortic valve endocarditis complicated with multiple fistula to peri aortic structure

  Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, i...

Successful bicuspid aortic valve repair using external aortic annuloplasty.

A 33-year-old man presented with severe aortic insufficiency due to a prolapsed bicuspid aortic valve. The ventriculoaortic junction was dilated to 29 mm without root dilatation, and external ring annuloplasty was performed using a Gelweave (Terumo, Tokyo, Japan) graft to reduce the size to 22 mm. The leaflets were repaired by dividing and suturing a raphe between the right and left cusps. This...