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

Okamoto, Yuki; Minakata, Kenji; Yunoki, Tomoyuki; Katsu, Masatake; Chino, Shinichiro; Matsumoto, Masahiko

doi:10.1007/s11748-011-0792-2

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…Then, we use a composite patch soaked in antibiotic solution and fibrin glue containing antibiotics. The effectiveness of this type of procedure has been reported [3]. In our patients, endocarditis has not recurred for more than 5 years after the surgeries.…”

Section: Discussionmentioning

confidence: 48%

“…Radical debridement of the infected tissue and reconstruction of the damaged annulus are essential for PVE surgery. Complete debridement was reported to be more important than the materials used for annular repair and valve replacement [3]. When the whole aortic annulus is destroyed in PVE, aortic root replacement using a homograft or aortic valve conduit should be performed.…”

Section: Discussionmentioning

confidence: 99%

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Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis

Matsuzaki

Iguchi

Tsukada

et al. 2020

BMC Cardiovasc Disord

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Background Prosthetic valve endocarditis (PVE) is a serious complication, and it is difficult to treat marked adhesion and infectious tissue. Case presentation There were four patients with aortic PVE, whose ages ranged from 59 to 80 years. In all patients, transoesophageal echocardiography revealed periannular abscess formation. We applied aortic annular enlargement techniques using a composite three-layer patch to repair the defects after radical debridement of the abscesses, and then replaced the prosthetic valves on the reconstructed annuli. All patients received antibiotics after surgery and recovered well without recurrence. Conclusions The aortic annular enlargement techniques provided a good field of vision at the complicated annulus, and our original patch was useful for repairing the aortic annulus and its surrounding apparatus.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis

Matsuzaki

Iguchi

Tsukada

et al. 2020

BMC Cardiovasc Disord

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“…The risk of destruction of the aortic annulus in cases of endocarditis of the prosthetic heart valve has already been described by Okamoto et al [21]. Furthermore, a similar surgical approach was described by Okamoto et al [21]. Here, the destroyed aortic annulus was first completely removed from the infected tissue and reconstructed via patch plasty.…”

Section: Discussionmentioning

confidence: 88%

“…In this group of patients, an annular patch plasty had to be performed in seven cases due to annulus destruction. The risk of destruction of the aortic annulus in cases of endocarditis of the prosthetic heart valve has already been described by Okamoto et al [ 21 ].…”

Section: Discussionmentioning

confidence: 97%

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Surgery for Infective Endocarditis after Primary Transcatheter Aortic-Valve Replacement—A Retrospective Single-Center Analysis

Rösch

Brendel

Buschmann

et al. 2023

JCM

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Transcatheter aortic-valve replacement (TAVR) is increasingly being used for the treatment of aortic-valve stenosis. Therefore, the total number of patients with an aortic-valve prosthesis is increasing, causing the incidence of prosthetic-valve endocarditis to increase. Methods: Between March 2016 and July 2019, ten patients underwent surgery due to prosthetic-valve endocarditis after TAVR. They were identified in our institutional database and analyzed. Results: Infective endocarditis was diagnosed 17 ± 16 month after TAVR. Mean age was 79 ± 4.4 years. Microbiological detection showed 6/10 positive blood cultures for enterococcus faecalis. Median EuroScore II was 24.64%. The mean size of the surgically replaced aortic prosthesis was 23.6 ± 1.3 and that of the TAVR was 28.4 ± 2.3 mm. The surgically implanted aortic valves had a mean gradient of 8.5 ± 2.2 mmHg. One patient died in hospital due to septic multiorgan failure. After discharge, all patients survived with a mean follow-up of 9 ± 8 month. Conclusions: With a rising number of patients after TAVR, prosthetic-valve endocarditis will increasingly occur in patients who were previously considered high or intermediate risk. Our results show that patients with TAVR infective endocarditis can be operated on with good results. Surgical therapy should not be withheld from TAVR patients with infective endocarditis.

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Ausgeprägte Dehiszenz einer Aortenklappenprothese mit konsekutiver hochgradiger Aorteninsuffizienz und kardiogenem Schock

Butz

Maagh

Schilling

et al. 2012

Herz

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

Abstract: Our simple procedure for complicated prosthetic valve endocarditis yielded excellent early and midterm outcomes.

Cited by 4 publications

References 21 publications

Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis

Aortic annular enlargement techniques using an original patch for prosthetic valve endocarditis

Surgery for Infective Endocarditis after Primary Transcatheter Aortic-Valve Replacement—A Retrospective Single-Center Analysis

Ausgeprägte Dehiszenz einer Aortenklappenprothese mit konsekutiver hochgradiger Aorteninsuffizienz und kardiogenem Schock

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