Late Reoperation Following Ligation of the Left Main Coronary Artery in a Patient with Infective Endocarditis.

Korean J Thorac Cardiovasc Surg

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Published: April 2019

We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493265PMC
http://dx.doi.org/10.5090/kjtcs.2019.52.2.109DOI Listing

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