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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e29-e32
DOI: 10.1055/a-2426-9423
Case Report

Modified Miniskirt Bentall with an Annular Pericardial Patch for Bentall's Endocarditis

Akimasa Morisaki 
1   Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
,
Yosuke Takahashi
1   Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
,
Kenta Nishiya
1   Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
,
Toshihiko Shibata
1   Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
› Author Affiliations Funding None.
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Abstract

Surgery for Bentall's endocarditis poses challenges because the infection spreads to the aortic valve annulus, leading to an annular abscess that necessitates reconstruction. We present a straightforward miniskirt Bentall procedure using an annular pericardial patch to treat Bentall's endocarditis with an annular abscess. After removing the former composite graft and debriding the aortic root and annulus, we created a miniskirt-composite graft using a mechanical or bioprosthetic valve, a straight or Valsalva graft, and an annular bovine pericardial patch with a valve prosthetic sizer. The miniskirt-composite graft, along with the underlying annular pericardial patch, was implanted using a double-layered suture technique.

Keywords

annular pericardial patch - Bentall's endocarditis - destroyed aortic valve annulus - miniskirt technique


Publication History

Received: 28 July 2024

Accepted: 24 September 2024

Accepted Manuscript online:
30 September 2024

Article published online:
08 November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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