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Updated: Aug 9, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Disastrous course of recurrent infective endocarditis after tooth extraction in a young patient with bicuspid aortic
P Zartner1, A Gamillscheg, B Rigler
1Abteilung für Kinderkardiologie, Universitätskinderklinik Graz, Austria. p.zartner@asklepios.com
Abstract:
In a patient with moderate malformations of the left-ventricular valves disregard of antibiotic prophylaxis after tooth extraction resulted in massive mitral- and aortic regurgitation. After surgical reconstruction a relapse produced an aorto left-ventricular fistula with septic embolizations and cardiac decompensation. Valve replacement with a homograft reconstituted the hemodynamic situation. During both episodes the Duke criteria for infective endocarditis supported the diagnosis.
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