Publication details

Rekonstrukce aortomitrální kontinuity u infekční endokarditidy dvou chlopní

Title in English Aortomitral continuity reconstruction in double-valve infective endocarditis
Authors

KOLÁRIK Miroslav FILA Petr ONDRÁŠEK J ŽÁKOVÁ Daniela NĚMEC Petr

Year of publication 2021
Type Article in Periodical
Magazine / Source Cor et Vasa
MU Faculty or unit

Faculty of Medicine

Citation
Web https://e-coretvasa.cz/pdfs/cor/2021/04/15.pdf
Doi http://dx.doi.org/10.33678/cor.2021.030
Keywords Aorto-mitral continuity; Commando procedure; Homograft; Infective endocarditis
Description We introduce a case of a 53-year-old male after mitral valve repair presenting with fever, weight loss and spinal pain during several months. After admission for ischemic stroke a transoesophageal echocardiography proved an evacuated periannular abscess of aortic valve. At next examination a disease progression was detected with involvement of aortomitral continuity. This form of disease is a rare manifestation of infective endocarditis. The patient was referred to operation using modifi ed Commando procedure technique. An aortic homograft was implanted with preserved anterior mitral leafl et which allowed a complete resection of infected tissue and anchoring of mitral bioprosthesis. In case of central fi brous body impairment aortic homografts are an appropriate form of aortic valve replacement eliminating use of artifi cial material.

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