Single Patch Technique for Aortic Annulus Reconstruction in Prosthetic Valve Endocarditis

Authors

Kenta Zaikokuji
Hayoung Lee, New York Medical College, Valhalla, NY, USA.
Chen Ken, Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Yosuke Mukae, Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Tomohiro Iwakura, Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Junichi Shimamura, New York Medical College, Valhalla, NY, USA Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, NY, USA.

Author Type(s)

Student, Faculty

DOI

10.1510/mmcts.2024.014

Journal Title

Multimedia Manual of Cardiothoracic Surgery

Document Type

Article

Publication Date

5-24-2024

Department

Surgery

Abstract

Aortic root reconstruction during aortic root replacement for a patient with prosthetic valve endocarditis and aortic root abscess can be a difficult procedure with many possible complications. In this video case report, we describe our novel technique using a single bovine pericardial patch that avoids deep stitches or external sutures to support the friable annulus. Compared with more standard methods, this approach has shorter cross-clamp and cardiopulmonary bypass times and is less demanding technically.

Recommended Citation

Zaikokuji, K., Lee, H., Ken, C., Mukae, Y., Iwakura, T., & Shimamura, J. (2024). Single Patch Technique for Aortic Annulus Reconstruction in Prosthetic Valve Endocarditis. Multimedia Manual of Cardiothoracic Surgery, 2024. https://doi.org/10.1510/mmcts.2024.014