AI Article Synopsis
- A patient with prosthetic aortic valve endocarditis faced severe complications, necessitating urgent surgery due to significant valve detachment and prior cardiac surgeries.
- Preoperative imaging uncovered a rare left superior vena cava anomaly, which required special techniques for safe surgery.
- The surgical procedure involved removing the infected valve and tissue, then replacing it with a cryopreserved aortic homograft for better fit and function.
Article Abstract
We present a case report detailing the surgical intervention in a patient with prosthetic aortic valve endocarditis complicated by a paravalvular abscess extending to the mitral-aortic fibrosa. Urgent surgery was required due to severe detachment of the prosthetic aortic valve, marking her third cardiac surgical procedure. Notably, preoperative imaging revealed the presence of a persistent left superior vena cava, a rare vascular anomaly requiring specialized cannulation techniques. The surgical approach involved removal of the infected tissue and prosthetic valve, followed by replacement with a cryopreserved aortic homograft, chosen for its anatomical adaptability.
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| http://dx.doi.org/10.1510/mmcts.2024.042 | DOI Listing |
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