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Updated: Jul 15, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Infective Endocarditis Caused by Abiotrophia defectiva Required Double-valve Replacement Using the Manouguian
Tomoya Higuchi1, Sei Morizumi, Yoshiharu Enomoto
1Ibaraki Prefectural Central Hospital, Cardiovascular Surgery, Kasama, Japan.
Abstract:
A 39-year-old man was presented with infective endocarditis caused by Abiotrophia defectiva. Transesophageal echocardiography revealed extensive vegetation and destruction extending from the aortic valve to the aortic-mitral curtain and mitral valve accompanied by severe regurgitation of the aortic and mitral valves. After removal of vegetation, double-valve replacement were performed with double patch and mechanical prosthesis using the manouguian procedure.
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