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[The effect of aortic valve translocation and a few problems]
Rinsho Kyobu Geka = Japanese Annals of Thoracic Surgery
|April 1, 1989
Summary
Aortic valve endocarditis with root abscesses poses challenges for valve replacement. Aortic valve translocation offers a viable surgical solution when standard methods are not feasible, demonstrating good patient outcomes.
Area of Science:
- Cardiac Surgery
- Infective Endocarditis
- Aortic Valve Disease
Context:
- Aortic valve endocarditis often presents with aortic root abscesses, complicating prosthetic valve insertion.
- Conventional aortic valve replacement may be technically challenging in these cases.
Purpose:
- To evaluate the efficacy of aortic valve translocation as an alternative surgical approach for infective aortic valve endocarditis with aortic root abscess.
- To assess the outcomes of aortic valve translocation combined with coronary artery revascularization.
Summary:
- Seven patients with aortic valve endocarditis and aortic root abscesses were treated between 1983 and 1988.
- Four patients underwent aortic valve translocation with saphenous vein grafts to the coronary arteries.
- Surgical techniques varied, including direct suturing of a prosthetic valve or using a Dacron graft for aortic replacement.
Impact:
- Aortic valve translocation proved to be a useful technique, enabling successful treatment when conventional methods were not applicable.
- Three out of four patients experienced long-term survival with satisfactory hemodynamic function and no signs of infection.
- One patient succumbed to graft ostial stenosis one year postoperatively, highlighting a potential complication.