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Updated: Oct 5, 2025
12:17
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
11.5K
Extensive aortic root endocarditis caused ventricular septal rupture
Satoru Maeba1, Dai Kawashima2, Masahiro Saito2
1Department of Cardiovascular Surgery, Tokyo General Hospital, 3-15-2 Egota, Nakano-ku, Tokyo, 165-0022, Japan. cardiosatoru@hotmail.com.
General Thoracic and Cardiovascular Surgery
|January 23, 2022
Summary
This case study details a successful surgical repair for severe aortic valve endocarditis complicated by ventricular septal rupture. The patient achieved a recurrence-free outcome 4 years post-operation, highlighting effective reconstructive techniques.
Area of Science:
- Cardiovascular Surgery
- Infective Endocarditis
- Cardiac Reconstruction
Background:
- Severe cardiac decompensation in an elderly patient.
- Transesophageal echocardiography revealed extensive aortic valve vegetations and severe regurgitation.
Observation:
- Heterogeneous cavities adjacent to the aortic annulus and ventricular septal rupture into the right-ventricular outflow tract were noted.
- The patient presented with severe pulmonary edema.
Findings:
- Extensive debridement of the aortic root and infected ventricular septum was performed.
- Aortic root and ventricular septum reconstruction utilized autologous and bovine pericardial patches.
- A bioprosthetic stented valve was implanted.
Implications:
- Successful surgical management of complex infective endocarditis with ventricular septal rupture.
- Demonstrates the efficacy of pericardial patch reconstruction and bioprosthetic valve replacement.
- Long-term recurrence-free survival achieved with this surgical approach.
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