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.
Key words
Heart valve surgery - aortic disease - cardiovascular surgery
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Prof. Dr. med. Johannes M. Albes, FETCS, MD, PhD
Department of Cardiovascular Surgery
Heart Center Brandenburg
Ladeburger Str. 17
16321 Bernau
Germany
Phone: +49 33 38 69 45 10
Fax: +49 33 38 69 45 44
Email: j.albes@immanuel.de
