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05:31
Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
Shelhigh no-react pulmonic valve conduit for pulmonary valve endocarditis
Neil Roberts1, Maciej J Matuszewski, Nick J Morgan-Hughes
1Department of Cardiothoracic Surgery, St. George's Hospital, Blackshaw Road, London SW17 0QT, United Kingdom. neil.roberts@stgeorges.nhs.uk
Asian Cardiovascular & Thoracic Annals
|January 25, 2007
Summary
Pulmonary valve endocarditis is rare, requiring extensive surgical intervention. This case details reconstruction using a porcine pulmonic valve conduit for a complex infection.
Area of Science:
- Cardiology
- Cardiac Surgery
- Infectious Diseases
Background:
- Pulmonary valve endocarditis is an uncommon condition with limited surgical case experience.
- Infective endocarditis typically affects native or prosthetic heart valves, with the pulmonary valve rarely involved.
Observation:
- A case of pulmonary valve endocarditis in a 26-year-old male patient is presented.
- The infection extended into the pulmonary valve annulus and involved vegetations in the main pulmonary artery.
Findings:
- Surgical intervention required extensive resection, including the main pulmonary artery, pulmonary valve, root, annulus, and part of the right ventricular outflow tract.
- Reconstruction was successfully achieved using a Shelhigh No-React porcine pulmonic valve conduit.
Implications:
- This case highlights the complex surgical management required for extensive pulmonary valve endocarditis.
- The use of a porcine pulmonic valve conduit offers a viable reconstructive option for such rare and severe cases.
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