Treatment of an aortic fungal false aneurysm by composite stentless porcine/pericardial conduit: a case report

被引：6

作者：

Mahesh, B ^{[1
]}

Caputo, M ^{[1
]}

Angelini, GD ^{[1
]}

Bryan, AJ ^{[1
]}

机构：

[1] Bristol Royal Infirm & Gen Hosp, Bristol Heart Inst, Bristol BS2 8HW, Avon, England

来源：

CARDIOVASCULAR SURGERY | 2003年 / 11卷 / 01期

关键词：

prosthetic valve endocarditis; homograft; composite xenograft; false aneurysm;

D O I：

10.1016/S0967-2109(02)00140-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fungal prosthetic valve endocarditis is an uncommon but serious condition with high early and long-term mortality. The majority of these cases occur after aortic valve surgery and are caused by Candida species. Radical debridement of all infected tissues, valve replacement with perioperative and long-term anti-fungal agents is the recommended treatment. Choice of prosthesis varies widely among surgeons, but present recommendations favour biological prostheses. We report for the first time the case of a fungal PVE with false aneurysm after composite aortic root replacement with a dacron composite conduit treated successfully with aortic root replacement using a Shelhigh (Shelhigh Inc., Millburn, NJ) stentless porcine pericardial valved conduit. (C) 2003 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.

引用

页码：93 / 95

页数：3

共 9 条

[1]

HAYDOCK D, 1992, J THORAC CARDIOV SUR, V103, P130

[2] Surgical treatment of prosthetic valve endocarditis [J].

Lytle, BW ;

Priest, BP ;

Taylor, PC ;

Loop, FD ;

Sapp, SK ;

Stewart, RW ;

McCarthy, PM ;

Muehrcke, D ;

Cosgrove, DM .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1996, 111 (01) :198-207

[3] Eight years clinical experience with the replacement of the ascending aorta using composite xenopericardial conduit [J].

Malashenkov, AI ;

Rusanov, NI ;

Muratov, RM ;

Movsesian, RA ;

Fursov, BA ;

Bykova, VA ;

Tsoukerman, GI .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2000, 18 (02) :168-173

[4] Shelhigh no-react porcine pulmonic valve conduit: A new alternative to the homograft [J].

Marianeschi, SM ;

Iacona, GM ;

Seddio, F ;

Abella, RF ;

Condoluci, C ;

Cipriani, A ;

Iorio, FS ;

Gabbay, S ;

Marcelletti, CF .

ANNALS OF THORACIC SURGERY, 2001, 71 (02) :619-623

[5] Treatment of endocarditis with valve replacement: The question of tissue versus mechanical prosthesis [J].

Moon, MR ;

Miller, DC ;

Moore, KA ;

Oyer, PE ;

Mitchell, RS ;

Robbins, RC ;

Stinson, EB ;

Shumway, NE ;

Reitz, BA .

ANNALS OF THORACIC SURGERY, 2001, 71 (04) :1164-1171

[6] SURGICAL AND LONG-TERM ANTIFUNGAL THERAPY FOR FUNGAL PROSTHETIC VALVE ENDOCARDITIS [J].

MUEHRCKE, DD ;

LYTLE, BW ;

COSGROVE, DM .

ANNALS OF THORACIC SURGERY, 1995, 60 (03) :538-543

[7] Redo aortic root replacement: Experience with 31 patients [J].

Raanani, E ;

David, TE ;

Dellgren, G ;

Armstrong, S ;

Ivanov, J ;

Feindel, CM .

ANNALS OF THORACIC SURGERY, 2001, 71 (05) :1460-1463

[8]

Remsey ES, 1998, J HEART VALVE DIS, V7, P235

[9] Recurrent infective endocarditis: A multivariate analysis of 21 years of experience [J].

Renzulli, A ;

Carozza, A ;

Romano, G ;

De Feo, M ;

Della Corte, A ;

Gregorio, R ;

Cotrufo, M .

ANNALS OF THORACIC SURGERY, 2001, 72 (01) :39-43

← 1 →