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. 2024 Feb 23;2024(2):rjae089.
doi: 10.1093/jscr/rjae089. eCollection 2024 Feb.

A customized technique for confluent aortic annular and selective sinus of Valsalva endocarditis

Anupama Barua  1 , Prakash Nanjaiah  1 , Richard Warwick  1 , Ravish Jeeji  2 , Lognathen Balacumaraswami  1
Affiliations

A customized technique for confluent aortic annular and selective sinus of Valsalva endocarditis

Anupama Barua et al. J Surg Case Rep. .

Abstract

We describe a novel technical modification for reoperative aortic valve replacement in destructive recurrent prosthetic aortic valve endocarditis. We encountered complex anatomy in a previously operated aortic root wherein the aortic annulus and the right coronary sinus of Valsalva were destroyed. This precluded secure suture placement. We modified a composite mechanical Valsalva conduit to create a separate sinus of Valsalva left in continuity with the mechanical valve. This approach allowed us to exclude the infected right sinus of Valsalva and the corresponding aortic annulus.

Keywords: infective endocarditis; reoperation; sinus of Valsalva.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Custom-tailored graft.
Figure 2
Figure 2
The composite graft implantation in aortic position with Dacron patch in situ.
See this image and copyright information in PMC

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