Abstract
We report the implantation of a fresh, stentless pulmonary homograft in the mitral position as an attempt to treat the 2nd recurrence of prosthetic endocarditis in a 66-year-old man. The postoperative course was uneventful; early postoperative transesophageal echocardiography showed a competent valve with a gradient of 4.2 mmHg. Fifteen months postoperatively, transthoracic echocardiography showed a good functioning homograft with a competent valve and no recurrence of endocarditis.
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- Ivert T. S., Dismukes W. E., Cobbs C. G., Blackstone E. H., Kirklin J. W., Bergdahl L. A. Prosthetic valve endocarditis. Circulation. 1984 Feb;69(2):223–232. doi: 10.1161/01.cir.69.2.223. [DOI] [PubMed] [Google Scholar]
- LOWER R. R., STOFER R. C., SHUMWAY N. E. A study of pulmonary valve autotransplantation. Surgery. 1960 Dec;48:1090–1100. [PubMed] [Google Scholar]
- Mestres C. A., Ginel A., Cartana R., Pomar J. L. Cryopreserved homografts in aortic and mitral prosthetic endocarditis: expanding the use of biological tissues in complex cardiac infections. J Heart Valve Dis. 1993 Nov;2(6):679–683. [PubMed] [Google Scholar]
- Oh W., Somerville J., Ross D. N., Ross K. J., Emanuel R. Mitral valve replacement with preserved cadaveric aortic homografts. J Thorac Cardiovasc Surg. 1973 May;65(5):712–721. [PubMed] [Google Scholar]
- Ross D. N. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet. 1967 Nov 4;2(7523):956–958. doi: 10.1016/s0140-6736(67)90794-5. [DOI] [PubMed] [Google Scholar]
- Ross D. Allograft root replacement for prosthetic endocarditis. J Card Surg. 1990 Mar;5(1):68–72. doi: 10.1111/j.1540-8191.1990.tb00739.x. [DOI] [PubMed] [Google Scholar]
- Somerville J., Ross D., Ross J. K. Mitral valve replacement with stored inverted pulmonary homograft valve. Thorax. 1972 Sep;27(5):583–585. doi: 10.1136/thx.27.5.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yacoub M. H., Kittle C. F. A new technique for replacement of the mitral valve by a semilur valve homograft. J Thorac Cardiovasc Surg. 1969 Dec;58(6):859–869. [PubMed] [Google Scholar]