Monobloc aorto-mitral homograft as a treatment of complex cases of endocarditis Jean-François Obadia, MD, PhDa, Olivier Raisky, MDa, Laurent Sebbag, MDa,

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Presentation transcript:

Monobloc aorto-mitral homograft as a treatment of complex cases of endocarditis Jean-François Obadia, MD, PhDa, Olivier Raisky, MDa, Laurent Sebbag, MDa, Sydney Chocron, MD, PhDb, Christine Saroul, MDc, Jean-François Chassignolle, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 121, Issue 3, Pages 584-586 (March 2001) DOI: 10.1067/mtc.2001.111375 Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Preoperative angiography and echocardiography showing a large abscess associated with a paravalvular leak. Note the enlarged distance between the 2 prostheses caused by the extensive infective process. PA, Paravalvular abscess; LA, left atrium; LAA, left atrial appendage; Ao, ascending aorta; LV, left ventricle; RA, right atrium. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 584-586DOI: (10.1067/mtc.2001.111375) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 The 3 steps of the surgical procedure. 1, Exploration of the lesions. Note the paravalvular abscess around the left coronary artery. CD, Right coronary; CG, left coronary. 2, Resection of the 2 prostheses, the aortic root, the left atrial roof (LAR) , and all the paravalvular septic tissue. 3, Reconstruction with a monobloc aorto-mitral homograft (AMH) and a pericardial patch (PP). The Journal of Thoracic and Cardiovascular Surgery 2001 121, 584-586DOI: (10.1067/mtc.2001.111375) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Angiogram on day 8 showing the anatomic repair and the aorto-mitral continuity without any leak on the 2 valves of the aorto-mitral homograft monobloc. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 584-586DOI: (10.1067/mtc.2001.111375) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Echocardiogram on day 10. The aorto-mitral continuity is visible on the left (diastolic view). The mitral competence is attested on the right (systolic view). LV, Left ventricle; LA, left atrium; RV, right ventricle; Ao, aorta. The Journal of Thoracic and Cardiovascular Surgery 2001 121, 584-586DOI: (10.1067/mtc.2001.111375) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions