Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit

Background Prosthetic valve endocarditis is becoming more common because many patients live long enough to experience bacteremia, while insufficient antibiotic prophylaxis eventually leads to graft infection. Valve-bearing conduit infections are the most feared because of technical challenges....

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Main Authors: Roya Ostovar, Johannes M. Albes
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2023-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770722
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author Roya Ostovar
Johannes M. Albes
author_facet Roya Ostovar
Johannes M. Albes
author_sort Roya Ostovar
collection DOAJ
description Background Prosthetic valve endocarditis is becoming more common because many patients live long enough to experience bacteremia, while insufficient antibiotic prophylaxis eventually leads to graft infection. Valve-bearing conduit infections are the most feared because of technical challenges. Case Description Two young patients were coincidental twins in terms of diagnosis and therapy. Both underwent complete replacement of the conduit, aortic arch prosthesis, and additional strategies to reconnect the coronary ostia and the brachiocephalic trunk. Both were discharged without significant residual problems. Conclusion Even most demanding infectious problems can be solved. Thus, surgery should not be denied.
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spelling doaj.art-e1d3071a3ff048d9a81ad0c9393a426b2023-07-10T23:33:57ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432023-01-011201e44e4710.1055/s-0043-1770722Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing ConduitRoya Ostovar0Johannes M. Albes1Department of Cardiovascular Surgery, Heart Center Brandenburg, University Hospital Brandenburg Medical School, Faculty of Health Sciences, Bernau, Brandenburg, GermanyDepartment of Cardiovascular Surgery, Heart Center Brandenburg, University Hospital Brandenburg Medical School, Faculty of Health Sciences, Bernau, Brandenburg, GermanyBackground Prosthetic valve endocarditis is becoming more common because many patients live long enough to experience bacteremia, while insufficient antibiotic prophylaxis eventually leads to graft infection. Valve-bearing conduit infections are the most feared because of technical challenges. Case Description Two young patients were coincidental twins in terms of diagnosis and therapy. Both underwent complete replacement of the conduit, aortic arch prosthesis, and additional strategies to reconnect the coronary ostia and the brachiocephalic trunk. Both were discharged without significant residual problems. Conclusion Even most demanding infectious problems can be solved. Thus, surgery should not be denied.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770722endocarditisreoperationaortic diseasecardiovascular surgeryaortic valve and rootaorta/aortic
spellingShingle Roya Ostovar
Johannes M. Albes
Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
The Thoracic & Cardiovascular Surgeon Reports
endocarditis
reoperation
aortic disease
cardiovascular surgery
aortic valve and root
aorta/aortic
title Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
title_full Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
title_fullStr Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
title_full_unstemmed Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
title_short Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit
title_sort unfortunate accidental twins two patients with endocarditis of a valve bearing conduit
topic endocarditis
reoperation
aortic disease
cardiovascular surgery
aortic valve and root
aorta/aortic
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770722
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