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Updated: Jun 5, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
[Cylindrical patch repair for circumferential subvalvular abscess due to prosthetic valve endocarditis]
Yasutaka Hirai1, Takeki Ohashi, Takeshi Yoshida
1Department of Cardiovascular Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan.
Abstract:
A 51-year-old male underwent aortic valve replacement and vascular prosthesis implantation due to an aneurysm of the ascending aorta combined with aortic regurgitation caused by the bicuspid aortic valve. Semi-emergency surgery was performed due to severe paravalvular leakage with prosthetic valve endocarditis 16 months after the 1st operation. The circumferential annular abscess cavities were closed with a cylindrical patch, and a mechanical valve was installed on the upper edge of the sutured cylindrical patch. A vascular prosthesis was reimplanted to the ascending aorta. Use of the cylindrical patch provides a good exposure of operative field to close circumferential annular abscess cavity.
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