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DOI: 10.1055/a-2426-9423
Modified Miniskirt Bentall with an Annular Pericardial Patch for Bentall's Endocarditis
Funding None.
Abstract
Surgery for Bentall's endocarditis poses challenges because the infection spreads to the aortic valve annulus, leading to an annular abscess that necessitates reconstruction. We present a straightforward miniskirt Bentall procedure using an annular pericardial patch to treat Bentall's endocarditis with an annular abscess. After removing the former composite graft and debriding the aortic root and annulus, we created a miniskirt-composite graft using a mechanical or bioprosthetic valve, a straight or Valsalva graft, and an annular bovine pericardial patch with a valve prosthetic sizer. The miniskirt-composite graft, along with the underlying annular pericardial patch, was implanted using a double-layered suture technique.
Keywords
annular pericardial patch - Bentall's endocarditis - destroyed aortic valve annulus - miniskirt techniquePublication History
Received: 28 July 2024
Accepted: 24 September 2024
Accepted Manuscript online:
30 September 2024
Article published online:
08 November 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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