Abstract
A 79-year-old man was referred to us for severe cardiac decompensation. Chest radiography showed severe pulmonary edema, and transesophageal echocardiography revealed extensive vegetations on all aortic valve leaflets with severe aortic valve regurgitation, heterogeneous cavities adjacent to the aortic annulus, and ventricular septal rupture into the right-ventricular outflow tract. After extensive debridement of the aortic root (including the infected ventricular septum), the ventricular septum and aortic root were reconstructed using autologous and bovine pericardial patches, and a bioprosthetic stented valve was placed. The postoperative course was uneventful, and he remains recurrence-free 4 years after surgery.
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The data that support the findings of this case report are available from the corresponding author, Satoru Maeba, upon reasonable request.
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All authors approved the manuscript for publication and agreed to be accountable for all aspects of the report. DK obtained institutional review board approval and supervised the report writing.
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Dai Kawashima obtained institutional review board approval for the report on August 4, 2018; the reference number for the approval is 1438808 (Ethics Committee of the Takeda General Hospital Foundation).
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Maeba, S., Kawashima, D., Saito, M. et al. Extensive aortic root endocarditis caused ventricular septal rupture. Gen Thorac Cardiovasc Surg 70, 394–397 (2022). https://doi.org/10.1007/s11748-021-01761-8
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DOI: https://doi.org/10.1007/s11748-021-01761-8