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You are here: Contents > 2014 > Volume 23 Number 3 May 2014 > INFECTIVE ENDOCARDITIS > Pulmonary Homograft Endocarditis and Aortic Autograft Failure after Ross Procedure: Double Stentless Bioprosthesis Approach

Pulmonary Homograft Endocarditis and Aortic Autograft Failure after Ross Procedure: Double Stentless Bioprosthesis Approach

Christophe J. P. Smeets1, Philippe B. Bertrand1,2, Cristiano Spadaccio4, Maud Beran3, David Verhaert2, Pieter M. Vandervoort1,2, Herbert Gutermann4, Robert A. Dion4

1Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, 2Department of Cardiology, 3Anesthesia and Intensive Care, and 4Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium

The case is reported of a 38-year-old male patient with pulmonary homograft acute infective endocarditis and aortic root dilation that occurred 13 years after a Ross procedure for bicuspid aortic valve regurgitation. Aortic and pulmonary root replacements were performed, using a Freestyle® stentless aortic root bioprosthesis in both cases, with excellent hemodynamics on postoperative echocardiography. In addition, preoperative systemic

septic embolization had occurred despite an absence of left-sided endocarditis, presumably due to an intrapulmonary shunt. This case report demonstrates the feasibility of a double stentless bioprosthesis approach, and stresses the need to remain vigilant for septic embolization even in isolated right-sided endocarditis.

The Journal of Heart Valve Disease 2014;23:360-363

Pulmonary Homograft Endocarditis and Aortic Autograft Failure after Ross Procedure: Double Stentless Bioprosthesis Approach

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