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  • Title: [Cylindrical patch repair for circumferential subvalvular abscess due to prosthetic valve endocarditis].
    Author: Hirai Y, Ohashi T, Yoshida T, Oka F, Oyoshi N, Kageyama S, Sakakura R, Furui M, Kojima A, Nanmoku K.
    Journal: Kyobu Geka; 2010 Dec; 63(13):1128-32. PubMed ID: 21174661.
    Abstract:
    A 51-year-old male underwent aortic valve replacement and vascular prosthesis implantation due to an aneurysm of the ascending aorta combined with aortic regurgitation caused by the bicuspid aortic valve. Semi-emergency surgery was performed due to severe paravalvular leakage with prosthetic valve endocarditis 16 months after the 1st operation. The circumferential annular abscess cavities were closed with a cylindrical patch, and a mechanical valve was installed on the upper edge of the sutured cylindrical patch. A vascular prosthesis was reimplanted to the ascending aorta. Use of the cylindrical patch provides a good exposure of operative field to close circumferential annular abscess cavity.
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