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  • Title: Reversed root for entirely biological aortic valve and ascending aorta replacement in a patient with endocarditis and mediastinitis.
    Author: Albes JM, Claus T.
    Journal: Thorac Cardiovasc Surg; 2011 Jun; 59(4):247-8. PubMed ID: 21394712.
    Abstract:
    A 59-year-old patient developed endocarditis with coagulase-negative staphylococci after aortic composite graft replacement and pacemaker implantation. She underwent complete pacemaker removal and tricuspid valve reconstruction. Pus was present in and around the aortic graft. Re-replacement of the aortic root and ascending aorta using only biological material was performed. A 23-mm full root stentless prosthesis (Vascutek Root Elan, Vascutec, Terumo, Leeds, UK) was used for aortic root replacement, and a second 25-mm full root prosthesis with removed cusps implanted in a reversed fashion was used for ascending aorta and proximal aortic arch replacement.
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