Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Reconstruction of Aorto-mitral Fibrous Skeleton in Complicated Native Valve Endocarditis -A Case Report-

심내막염 환자에서의 Aorto-mitral fibrous skeleton의 재건술 -치험 1례-

  • Published : 1995.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

This is a report of successful management of a patient with complicated native valvular endocarditis. Initially stable patient showed sudden collapse at the end of 4th week of antibiotics coverage. Echocardiography revealed that previous vegetation at the Aorto-mitral Fibrous Skeleton[AMFS developed into a false aneurysm, perforated to left atrium and caused fistulous communication between left ventricle and left atrium. Extensive debridement was performed including part of the ascending aorta, aortic cusps, the AMFS, anterior mitral cusp and roof of the left atrium. Reconstruction of the AMFS with tailored single piece of autologous pericardium enabled the implantation of mechanical valves at the aortic and the mitral position. Ascending aorta and roof of the left atrium were repaired with autologous pulmonary artery patch graft and another autologous pericardial patch. The patient was discharged on postoperative 16th day and followed - up till now without any residuae or sequelae.

Keywords

References

  1. Circulation v.54 Valve ring abscess in active infective endocarditis Arnett,E.N.;Roberts,W.C.
  2. Circulation v.58 Treatment of infective endocarditis. A 10-year comparative analysis Richardson,J.V.;Karp,R.B.;Kirklin,J.W.(et al.)
  3. Am J Cardiol v.38 Prosthetic valve endocarditis:Clinicopathologic analysis of 22 necropsy patient Arnett,E.N.;Robert,W.C.
  4. Circulation v.86 Transesophageal echocardiographic recognition of subaortic complications in aortic valve endocarditis Karalis,D.G.;Bansal,R.C.;Hauck,A.J.(et al)
  5. Cardiac anatomy-an integrated text and color atlas v.5 Anderson,R.H.;Becker,A.E.
  6. J Thor ac Cardiovas Surg v.108 Determinations of the occurrence of and survival from prosthetic value endocarditis Grover,E.L.;Cohen,D.J.;Oprian,C.
  7. J Am Coll Cardiol v.15 Left ventricular outflow tract to left atrial communication secondary to rupture of miral-aortic intervalvular fibrosa in infective endocarditis Bansal,M.C.;Graham,B.M.;Jutzy,K.R.(et al.)
  8. 순환기 v.23 대동맥판막 감염성 심내막염의 합병증으로 발생한 대동맥판막하 합병증의 진단에 있어서 Transsesophageal echocardiography의 유용성 이철환;송재관;김재중 등
  9. Circulation v.76 no.supplⅢ Reconstruction of the mitral annulus David,T.E.;Feindel,C.M.
  10. J Thorac Cardiovasc Surg v.94 Reconstruction of the left ventricle with autologous pericardium David,T.E.;Feindel,C.M.;Ropchan,G.V.(et al.)