Cor Vasa 2021, 63(4):513-517 | DOI: 10.33678/cor.2021.030

(Aortomitral continuity reconstruction in double-valve infective endocarditis)

Miroslav Kolárik^a, Petr Fila^{a, b}, Jiří Ondrášek^a, Daniela Žáková^a, Petr Němec^{a, b}

^a Centrum kardiovaskulární a transplantační chirurgie Brno

^b Klinika kardiovaskulární a transplantační chirurgie, Lékařská fakulta Masarykovy univerzity, Brno

We introduce a case of a 53-year-old male after mitral valve repair presenting with fever, weight loss and spinal pain during several months. After admission for ischemic stroke a transoesophageal echocardiography proved an evacuated periannular abscess of aortic valve. At next examination a disease progression was detected with involvement of aortomitral continuity. This form of disease is a rare manifestation of infective endocarditis. The patient was referred to operation using modified Commando procedure technique. An aortic homograft was implanted with preserved anterior mitral leaflet which allowed a complete resection of infected tissue and anchoring of mitral bioprosthesis. In case of central fibrous body impairment aortic homografts are an appropriate form of aortic valve replacement eliminating use of artificial material.

Keywords: Aorto-mitral continuity, Commando procedure, Homograft, Infective endocarditis

Received: January 15, 2021; Revised: January 15, 2021; Accepted: March 4, 2021; Published: August 25, 2021  Show citation