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Mitral valve replacement after application of atrial appendix flap in endocarditis with posterior annular abscess

Riza Turkoz1, Oner Gulcan, Emrah Uguz

  • 1Department of Cardiovascular Surgery, Baskent Universitesi, Adana, Turkey.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|September 29, 2004
PubMed

Insights

Cardiac valve replacement for bacterial endocarditis with annular abscesses poses high risks. A surgical technique using a left atrial appendage flap to cover the atrium and annulus before mitral valve replacement was successfully applied in two patients.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infective Endocarditis

Background:

  • Acute bacterial endocarditis with annular abscess formation presents significant surgical challenges.
  • Cardiac valve replacement in these cases is linked to high perioperative mortality and morbidity.

Observation:

  • Two patients with infective endocarditis and mural leaflet annular abscesses were treated.
  • A novel surgical approach was employed prior to mitral valve replacement.

Findings:

  • The surgical technique involved covering the atrium and annulus with an evaginated left atrial appendage flap.
  • This method aimed to mitigate risks associated with valve replacement in complex endocarditis cases.

Implications:

  • This technique may offer a viable strategy to reduce perioperative complications in specific endocarditis scenarios.
  • Further research is warranted to evaluate the long-term efficacy and applicability of this surgical approach.

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