Journal of Chest Surgery

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

DOI QR Code

Aortic Periannular Abscess Invading into the Central Fibrous Body, Mitral Valve, and Tricuspid Valve

  • Oh, Hyun Kong (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kim, Nan Yeol (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School) ;
  • Kang, Min-Woong (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Shin Kwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Lim, Seung Pyung (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Choi, Jae Sung (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Na, Myung Hoon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
  • Received : 2013.07.22
  • Accepted : 2013.11.05
  • Published : 2014.06.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was executed from the aortic annulus at NCS down to the central fibrous body and annulus of the MV and the TV, followed by the left ventricular outflow tract reconstruction with implantation of a mechanical aortic valve by using a leaflet of the half-folded elliptical bovine pericardial patch. Another leaflet of this patch was used for the repair of the right atrial wall with a defect and the TV.

Keywords

References

  1. Anguera I, Miro JM, Cabell CH, et al. Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database. Am J Cardiol 2005;96:976-81. https://doi.org/10.1016/j.amjcard.2005.05.056
  2. Moore KL, Dalley AF, Agur AM. Heart. In: Moore KL, Dalley AF, Agur AM, editors. Clinically oriented anatomy. 6th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2010. p. 135-59.
  3. David TE, Kuo J, Armstrong S. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body. J Thorac Cardiovasc Surg 1997;114:766-71. https://doi.org/10.1016/S0022-5223(97)70080-1
  4. Kameyama T, Ando F, Okamoto F, Hanada M, Sasahashi N. A brimmed valved conduitin repair of fibrous skeleton abscess. Ann Thorac Surg 1998;66:2108-10. https://doi.org/10.1016/S0003-4975(98)00765-6
  5. Black MD, Walley VM, Keon WJ. Fibrous skeleton endocarditis: repair using Konno procedure. Ann Thorac Surg 1994;57:225-8. https://doi.org/10.1016/0003-4975(94)90408-1

Cited by

  1. Multimodality Imaging of the Anatomy of the Aortic Root vol.8, pp.5, 2021, https://doi.org/10.3390/jcdd8050051