A 50-year-old male underwent surgery for infective aortic valve endocarditis, which had been refractory to medical treatment The valve was bicuspid, and involvement of the annular and subannular structures was recognized. A large suppurative discharge was obtained on incising this portion. Although there was no interventricular shunt, the abscess cavity was revealed to extend through the epicardial surface of the right atrioventricular groove. Following extensive debridement and irrigation, the defect was dosed by an autologous pericardial patch. A 23 mm mechanical valve was implanted placing some of the stitches deep into the muscular interventricular septum. Infection was controlled by six-week administration of cefazolin sodium and gentamicin sulfate, and the patient survived.
|Number of pages||3|
|Journal||Japanese Journal of Thoracic and Cardiovascular Surgery|
|Publication status||Published - 06-2006|
All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine