Related Experiment Videos
Reoperation for composite graft infection after aortic root replacement
Hirokazu Murayama1, Soichi Asano, Momoko Yanai
1Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 5, 2005
Summary
Composite graft infection after aortic root replacement is a serious complication. Redo aortic root replacement with new grafts, including a bioprosthesis, offers successful treatment for these infections.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
Background:
- Composite graft infection following aortic root replacement is a severe complication with high mortality.
- Surgical reintervention is often necessary but carries significant risks.
Observation:
- Two cases of composite graft infection are presented, occurring 3 and 44 months post-primary aortic root replacement.
- Both patients underwent successful redo aortic root replacement.
Findings:
- One patient received a new composite graft, while the other received a Freestyle stentless bioprosthesis.
- Both patients remain well with no recurrence of infection at 35 and 48 months postoperatively, respectively.
Implications:
- Redo aortic root replacement is a viable and effective treatment for composite graft infections.
- Utilizing new composite grafts or stentless bioprostheses can lead to favorable long-term outcomes in managing these complex infections.