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Use of a Valved-Conduit for Exclusion of the Infected Portion in the Prosthetic Pulmonary Valve Endocarditis

  • Jung, Joonho (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Hong, You Sun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lee, Cheol Joo (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lim, Sang-Hyun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Choi, Ho (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Park, Soo-Jin (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine)
  • Received : 2012.09.24
  • Accepted : 2012.10.22
  • Published : 2013.06.05

Abstract

A 51-year-old male was admitted to the hospital with complaints of fever and hemoptysis. After evaluation of the fever focus, he was diagnosed with pulmonary valve infective endocarditis. Thus pulmonary valve replacement and antibiotics therapy were performed and discharged. He was brought to the emergency unit presenting with a high fever (> $39^{\circ}C$) and general weakness 6 months after the initial operation. The echocardiography revealed prosthetic pulmonary valve endocarditis. Therefore, redo-pulmonary valve replacement using valved conduit was performed in the Rastelli fashion because of the risk of pulmonary arterial wall injury and recurrent endocarditis from the remnant inflammatory tissue. We report here on the successful surgical treatment of prosthetic pulmonary valve endocarditis with an alternative surgical method.

Keywords

References

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  1. Late Postoperative Prosthetic Pulmonary Valve Endocarditis in a 13-Year-Old Girl with Repaired Tetralogy of Fallot vol.42, pp.3, 2013, https://doi.org/10.14503/thij-14-4130
  2. Prosthetic pulmonary valve and conduit endocarditis in congenital heart disease vol.27, pp.4, 2013, https://doi.org/10.1177/0218492319832769