Aortic root replacement with cryopreserved homograft for infective endocarditis in the modern North American opioid epidemic

Sultan, Ibrahim; Bianco, Valentino; Kilic, Arman; Chu, Danny; Navid, Forozan; Gleason, Thomas G.

doi:10.1016/j.jtcvs.2018.05.050

Cited by 43 publications

(35 citation statements)

References 32 publications

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“…Myxofibrosarcomas represent a subset of soft tissue sarcomas with a propensity for local recurrence and infiltrative behavior. Most myxofibrosarcomas present as slowly enlarging masses frequently arising in the extremities, the trunk, and less commonly, the head and neck region . Primary cardiac myxofibrosarcomas are exceedingly rare and most frequently involve the left atrium 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Primary cardiac myxofibrosarcomas are exceedingly rare and most frequently involve the left atrium 2 . Local recurrence of the tumor is common, and as many as 25% to 52% of patients will experience multiple recurrences . Previous studies have shown that low‐grade myxofibrosarcomas often recur at higher grades, demonstrating evidence of tumor progression and placing patients at a higher risk of developing distant metastases .…”

Section: Discussionmentioning

confidence: 99%

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Aggressive invasive recurrence of a right atrial myxofibrosarcoma

DeAndrade¹,

Kilic

Christie

et al. 2019

J Card Surg

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A 58‐year‐old man presented with left‐sided chest discomfort 9 years ago. At that time a 12‐centimeter extrapleural mass was resected via left thoracotomy. Surgical pathology revealed a low‐grade myxofibrosarcoma. Since that time, he had undergone three separate resections of recurrent left extrapleural masses with sternotomy and thoracotomy. He proceeded to have a five‐year disease‐free interval after which a pericardial mass invading into the right atrial free wall, the atrioventricular groove, and the right coronary artery was identified. Surgical resection was performed with negative margins and the right atrium and atrioventricular groove were reconstructed without any residual tricuspid regurgitation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aggressive invasive recurrence of a right atrial myxofibrosarcoma

DeAndrade¹,

Kilic

Christie

et al. 2019

J Card Surg

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“…Aortic root replacement with cryopreserved homograft tissue is often used for patients with an infected aortic root [44]. The structure of the homograft that includes the muscular part of the left ventricular outflow tract, the anterior mitral leaflet and the aorto-mitral continuity; these provide additional tissue to fill gaps created by aggressive debridement while treating endocarditis [44,45]. Homograft provide excellent hemodynamics and do not need anti-coagulation.…”

Section: Aortic Root Replacement With Cryopreserved Homograftmentioning

confidence: 99%

“…However, we would caution their use in young patients. Valve degeneration and subsequent need for re-operation is often inversely proportional to age at implant [44] (Figure 3).…”

Section: Aortic Root Replacement With Cryopreserved Homograftmentioning

confidence: 99%

Aortic Root Reconstruction

Altarabsheh¹,

Deo²,

Elgudin³

2020

Cardiac Surgery Procedures

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Aortic root reconstruction represents one of the most complex areas of cardiac surgery as well as one of the most dynamic-major developments in understanding of the aortic root anatomy and physiology, improvements in imaging and surgical technique allowed for development and acceptance into clinical practice of several novel procedures over last couple of decades. From first aortic root replacement reported by Bentall and De Bono in 1968 to aortic root reimplantation (David procedure) and remodeling (Yacoub operation) with multiple contemporary modifications, aortic root reconstruction now is widely used in treatment of chronic aortic aneurysmal disease and acute aortic dissections alike. Basic principles of aortic root structure and function and critical operative strategies for aortic root surgery are reviewed in this chapter.

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“…Prosthetic valve endocarditis may present similar to native valve endocarditis but has greater potential to be persistent and invasive because of the presence of a foreign body that may not allow for the elimination of the causative organism . Transthoracic and transesophageal echocardiography is typically used to confirm the clinical suspicion of endocarditis prior and to help determine if operative intervention is indicated.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic dilemma in prosthetic valve endocarditis: Computed tomography to the rescue

et al. 2019

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A 58‐year‐old man with multiple myeloma, prior bioprosthetic valve, spinal hardware and multiple episodes of Corynebacterium amycolatum bacteremia was found to have a well‐seated valve without vegetations, paravalvular leak, abscess or degeneration over a period of 6 months on five separate transesophageal echocardiographic studies. Computed tomography angiography was performed which revealed vegetation at the level of the left ventricular outflow tract. Reoperative sternotomy and interrogation of the valve confirmed a 1.5‐cm vegetation with the same bacterium. The patient underwent a redo aortic valve replacement and recovered without any complications. He has been asymptomatic and culture negative on surveillance.

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Aortic root replacement with cryopreserved homograft for infective endocarditis in the modern North American opioid epidemic

Cited by 43 publications

References 32 publications

Aggressive invasive recurrence of a right atrial myxofibrosarcoma

Aggressive invasive recurrence of a right atrial myxofibrosarcoma

Aortic Root Reconstruction

Diagnostic dilemma in prosthetic valve endocarditis: Computed tomography to the rescue

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