Abstract
Approximately one-third of patients with infective endocarditis require surgical treatment, but the ideal procedure that prevents infection ensures long durability and maintains quality of life remains unclear. A 21-year-old man who was diagnosed with aortic active infective endocarditis was referred to our hospital for surgical treatment. Echocardiography showed bicuspid aortic valve, severe aortic regurgitation, a large vegetation, and a paravalvular abscess. We planned to perform elective surgical treatment after antibiotic therapy; however, progression to heart failure required urgent operation. Aortic valve reconstruction (AVr) using autologous pericardium was performed. Perioperative and postoperative courses were uneventful. No recurrence of infection or adverse events were observed 4 years postoperatively. Considering prosthetic valve infection and redo operation, AVr may be considered among young patients.
Similar content being viewed by others
References
Lee S, Chang B, Park HK. Surgical experience with infective endocarditis and aortic root abscess. Yonsei Med J. 2014;55:1253–9.
Hara T, Soeki T, Kusunose K, Kusunose K, Yamaguchi K, Taketani Y, et al. Bicuspid aortic valve endocarditis complicated by perivalvular abscess. J Med Invest. 2012;59:261–5.
Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg. 2007;133:1226–33.
Perrotta S, Aljassim O, Jeppsson A, Bech-Hanssen O, Svensson G. Survival and quality of life after aortic root replacement with homografts in acute endocaiditis. Ann Thorac Surg. 2010;90:1862–7.
Mayer K, Aicher D, Feldner S, Kunihara T, Schäfers HJ. Repair versus replacement of the aortic valve in active infective endocarditis. Eur J CardioThorac Surg. 2012;42:122–7.
Ozaki S, Kawase I, Yamashita H, Uchida S, Takatoh M, Hagiwara S, et al. Aortic valve reconstruction using autologous pericardium for aortic stenosis. Circ J. 2015;79(7):1504–10.
Song MG, Yang HS, Choi JB, Shin JK, Chee HK, Kim JS. Aortic valve reconstruction with use of pericardial leaflets in adults with bicuspid aortic valve disease: early and midterm outcomes. Tex Heart Inst J. 2014; 41:585–591.
Duran CM, Gometza B, Kumar N, Gallo R, Martin-Duran R. Aortic valve replacement with freehand autlogous pericardium. J Thorac CardioVasc Surg. 1995;110:511–8.
Al Halees Z, Al Shahid M, Al Sanei A, Sallehuddin A, Duran C. Up to 16 years follow-up of aortic valve reconstruction with pericardium: a stent less readily available cheap valve? Eur J CardioThorac Surg. 2005;28:200–5.
Wilbring M, Alexiou K, Tugtekin SM, Sill B, Simonis G, Matschke K, et al. Transcatheter valve-in-valve therapies: patient selection, prosthesis assessment and selection, results, and future directions. Curr Cardiol Rep. 2013;15:341.
Ozaki S, Kawase I, Yamashita H, Nozawa Y, Takatoh M, Hagiwara S, et al. Aortic valve reconstruction using autologous pericardium for patients aged less than 60 year. J Thorac CardioVasc Surg. 2014;148:934–8.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Kimiaki Okada has no conflict of interest.
Rights and permissions
About this article
Cite this article
Okada, K., Inoue, Y., Haida, H. et al. Aortic valve reconstruction using autologous pericardium (Ozaki procedure) for active infective endocarditis: a case report. Gen Thorac Cardiovasc Surg 66, 546–548 (2018). https://doi.org/10.1007/s11748-017-0875-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-017-0875-9