Aortic Valve Translocation for Severe Prosthetic Valve Endocarditis: Early Results and Long-Term Follow-Up

Nottin, R; Al‐Attar, Nawwar; Ramadan, Ramzi; Azmoun, Alexandre; Therasse, Alexis; Kortas, Chokri; Ly, Mohamed; Bouchachi, Amir; Bourachot-Montantême, Marie-Laure

doi:10.1016/j.athoracsur.2004.10.047

Cited by 19 publications

(12 citation statements)

References 11 publications

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“…Therefore, we also introduced the supraannular AVR using the Solo Smart valve for patients with active IE with extensive annular defect as a simple and technically less demanding alternative to ARR 4,5 or aortic valve translocation technique. 1,3 According to the literature and our experience, patients with severe annular destruction did not always require ARR because the infection did not always extend to the sinus of Valsalva or the coronary ostium. 7 In other words, the sinus of Valsalva wall tends to remain intact even in extensive annular destruction.…”

Section: Commentmentioning

confidence: 84%

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Solo Smart stentless bioprosthesis for extensive aortic annular defects caused by infective endocarditis

et al. 2020

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Background and Aims The optimal valve and prosthesis in patients with aortic valve infective endocarditis with annular abscess is controversial. If extensive annular defects occur after debridement, standard techniques are difficult; more complex aortic root replacement (ARR) or aortic valve translocation technique are inevitable. The Solo Smart stentless bioprosthesis is specially designed for supra‐annular implantation without annular stitches. Methods Nineteen patients with active aortic valve infective endocarditis underwent aortic valve replacement in the past 3 years. Of these, we performed aortic valve replacement using the Solo Smart valve in four patients with extensive annular destruction and complex aortic root pathologies requiring reconstruction. Results Although more than two‐thirds of the annular structure was missing after radical debridement of infected tissues, supra‐annular aortic valve replacement with the Solo Smart valve could be performed successfully in all four patients. All patients are doing well without prosthetic valve dysfunction and/or recurrent infection. Conclusion The supra‐annular aortic valve replacement using the Solo Smart valve is considered to be a useful alternative to standard aortic valve replacement in patients complicated with extensive annular defect. It is a simple and technically less demanding alternative to ARR or aortic valve translocation technique.

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Section: Commentmentioning

confidence: 84%

“…| 899 because of late coronary artery bypass graft stenosis and aneurysmal dilatation of aortic root, it is now an alternative to ARR using homografts with technical modification 3. However, ARR and aortic valve translocation technique are challenging and technically demanding in this setting.…”

mentioning

confidence: 99%

Solo Smart stentless bioprosthesis for extensive aortic annular defects caused by infective endocarditis

et al. 2020

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“…Nottin and colleagues showed that it was a reliable alternative to a homograft. Actuarial survival rates at 10 and 15 years were 38% and 35%, respectively …”

Section: Discussionmentioning

confidence: 97%

Repair of Aorto-Left Ventricular and Aorto-Right Ventricular Fistulas Following Prosthetic Valve Endocarditis

et al. 2013

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“…23,24 It is well known that both homografts and autografts offer excellent hemodynamic performance, and it is thought that they are resistant to infection. Indeed, the reported incidences of recurrent PVE after aortic root replacement using homografts or autografts range from 0% to 4.2% and 0% to 4%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Treatment of prosthetic valve endocarditis complicated by destruction of the aortic annulus

Okamoto

Minakata

Yunoki

et al. 2011

Gen Thorac Cardiovasc Surg

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Aortic Valve Translocation for Severe Prosthetic Valve Endocarditis: Early Results and Long-Term Follow-Up

Cited by 19 publications

References 11 publications

Solo Smart stentless bioprosthesis for extensive aortic annular defects caused by infective endocarditis

Solo Smart stentless bioprosthesis for extensive aortic annular defects caused by infective endocarditis

Repair of Aorto-Left Ventricular and Aorto-Right Ventricular Fistulas Following Prosthetic Valve Endocarditis

Treatment of prosthetic valve endocarditis complicated by destruction of the aortic annulus

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