Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis
Abstract Background Surgery for infective endocarditis involving the aorto-mitral curtain (AMC) is challenging and requires extensive incisions and complex reconstruction procedures. However, in patients with preserved aortic annulus, reconstruction of the AMC is possible using a simple technique wi...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2019-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0558-5 |
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| author | Atsushi Hiromoto Shun-Ichiro Sakamoto Yasuo Miyagi Takashi Nitta |
| author_facet | Atsushi Hiromoto Shun-Ichiro Sakamoto Yasuo Miyagi Takashi Nitta |
| author_sort | Atsushi Hiromoto |
| collection | DOAJ |
| description | Abstract Background Surgery for infective endocarditis involving the aorto-mitral curtain (AMC) is challenging and requires extensive incisions and complex reconstruction procedures. However, in patients with preserved aortic annulus, reconstruction of the AMC is possible using a simple technique with limited incisions. Case presentation A handmade bovine three-portion pericardial patch was used to reconstruct the AMC in a patient with severe endocarditis requiring double valve replacement; the technique allowed for steady anchorage of prosthetic valves without additional incisions other than conventional aortotomy and atriotomy. Postoperative echocardiography revealed normal cardiac function and no significant perivalvular leakage. The patient displayed complete recovery and was discharged on postoperative day 33. The patient was symptom-free at his 1-year follow-up and displayed normal laboratory and echocardiographic findings. Conclusion The bovine three-portion pericardial patch is useful for reconstructing the AMC in patients with infective endocarditis accompanied by preserved aortic annulus. |
| format | Article |
| id | doaj-art-a2b7bd43bbd1497588e331f9edc61ecf |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-a2b7bd43bbd1497588e331f9edc61ecf2025-08-20T03:35:54ZengJapan Surgical SocietySurgical Case Reports2198-77932019-01-01511410.1186/s40792-018-0558-5Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditisAtsushi Hiromoto0Shun-Ichiro Sakamoto1Yasuo Miyagi2Takashi Nitta3Department of Cardiovascular Surgery, Nippon Medical SchoolDepartment of Cardiovascular Surgery, Nippon Medical SchoolDepartment of Cardiovascular Surgery, Nippon Medical SchoolDepartment of Cardiovascular Surgery, Nippon Medical SchoolAbstract Background Surgery for infective endocarditis involving the aorto-mitral curtain (AMC) is challenging and requires extensive incisions and complex reconstruction procedures. However, in patients with preserved aortic annulus, reconstruction of the AMC is possible using a simple technique with limited incisions. Case presentation A handmade bovine three-portion pericardial patch was used to reconstruct the AMC in a patient with severe endocarditis requiring double valve replacement; the technique allowed for steady anchorage of prosthetic valves without additional incisions other than conventional aortotomy and atriotomy. Postoperative echocardiography revealed normal cardiac function and no significant perivalvular leakage. The patient displayed complete recovery and was discharged on postoperative day 33. The patient was symptom-free at his 1-year follow-up and displayed normal laboratory and echocardiographic findings. Conclusion The bovine three-portion pericardial patch is useful for reconstructing the AMC in patients with infective endocarditis accompanied by preserved aortic annulus.http://link.springer.com/article/10.1186/s40792-018-0558-5Infective endocarditisAorto-mitral curtainPatch repair |
| spellingShingle | Atsushi Hiromoto Shun-Ichiro Sakamoto Yasuo Miyagi Takashi Nitta Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis Surgical Case Reports Infective endocarditis Aorto-mitral curtain Patch repair |
| title | Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis |
| title_full | Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis |
| title_fullStr | Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis |
| title_full_unstemmed | Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis |
| title_short | Bovine three-portion pericardial patch for reconstruction of the aorto-mitral curtain in infective endocarditis |
| title_sort | bovine three portion pericardial patch for reconstruction of the aorto mitral curtain in infective endocarditis |
| topic | Infective endocarditis Aorto-mitral curtain Patch repair |
| url | http://link.springer.com/article/10.1186/s40792-018-0558-5 |
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