Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus

Abstract Surgery for endocarditis of the aorto-mitral continuity can be a challenge in case of extensive tissue destruction. We report two cases of a modified monobloc reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous body. Two valve bioprostheses were sutured to each ot...

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Main Authors: Calixte de La Bourdonnaye Blossac, Ian Cummings, Amedeo Anselmi, Erwan Flecher
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2023-05-01
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382023000300411&lng=en&tlng=en
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author Calixte de La Bourdonnaye Blossac
Ian Cummings
Amedeo Anselmi
Erwan Flecher
author_facet Calixte de La Bourdonnaye Blossac
Ian Cummings
Amedeo Anselmi
Erwan Flecher
author_sort Calixte de La Bourdonnaye Blossac
collection DOAJ
description Abstract Surgery for endocarditis of the aorto-mitral continuity can be a challenge in case of extensive tissue destruction. We report two cases of a modified monobloc reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous body. Two valve bioprostheses were sutured to each other and implanted as a composite graft. A pericardial patch sutured to the valves was employed to reconstruct both the noncoronary sinus and the left atrial roof. This technical adjustment allows adaptation to variable anatomical conditions in these particularly difficult cases.
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spelling doaj.art-c9a46ddca7524971b62a2639ef320ecc2023-05-09T07:32:16ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412023-05-0138341141310.21470/1678-9741-2020-0674Destructive Aorto-Mitral Endocarditis: Two Valves for One AnnulusCalixte de La Bourdonnaye BlossacIan CummingsAmedeo AnselmiErwan FlecherAbstract Surgery for endocarditis of the aorto-mitral continuity can be a challenge in case of extensive tissue destruction. We report two cases of a modified monobloc reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous body. Two valve bioprostheses were sutured to each other and implanted as a composite graft. A pericardial patch sutured to the valves was employed to reconstruct both the noncoronary sinus and the left atrial roof. This technical adjustment allows adaptation to variable anatomical conditions in these particularly difficult cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382023000300411&lng=en&tlng=enEndocarditisAortic ValveMitral ValveSurgery
spellingShingle Calixte de La Bourdonnaye Blossac
Ian Cummings
Amedeo Anselmi
Erwan Flecher
Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
Brazilian Journal of Cardiovascular Surgery
Endocarditis
Aortic Valve
Mitral Valve
Surgery
title Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
title_full Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
title_fullStr Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
title_full_unstemmed Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
title_short Destructive Aorto-Mitral Endocarditis: Two Valves for One Annulus
title_sort destructive aorto mitral endocarditis two valves for one annulus
topic Endocarditis
Aortic Valve
Mitral Valve
Surgery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382023000300411&lng=en&tlng=en
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AT iancummings destructiveaortomitralendocarditistwovalvesforoneannulus
AT amedeoanselmi destructiveaortomitralendocarditistwovalvesforoneannulus
AT erwanflecher destructiveaortomitralendocarditistwovalvesforoneannulus