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You are here: Contents > 2013 > Volume 22 Number 5 September 2013 > MISCELLANEOUS > Surgical-Transcatheter Approach for Endocarditis of a Calcified Aortic Homograft

Surgical-Transcatheter Approach for Endocarditis of a Calcified Aortic Homograft

Herko Grubitzsch1, Michael Laule2, Karl Stangl2, Alexander Lembcke3, Michael Sander4, Torsten Christ1, Wolfgang Konertz1

1Klinik für Kardiovaskuläre Chirurgie, 2Medizinische Klinik mit Schwerpunkt Kardiologie und Angiologie, 3Institut für Radiologie, 4Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Berlin, Germany

Repeat aortic valve replacement (AVR) after freestanding homograft root replacement with reimplantation of the coronary arteries is challenging and risky, especially in patients with major homograft wall calcifications. Although new transcatheter techniques for AVR may offer an alternative in structurally degenerated homografts, they

are not suitable to treat endocarditis. Here, the case is reported of successful treatment of bacterial endocarditis within a totally calcified homograft after aortic root replacement by combining conventional surgery and transcatheter techniques.

The Journal of Heart Valve Disease 2013;22:751-753

Surgical-Transcatheter Approach for Endocarditis of a Calcified Aortic Homograft

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