Infective endocarditis: Perioperative management and surgical principles  Kareem Bedeir, MBChB, MS, Michael Reardon, MD, Basel Ramlawi, MD, MMSc, FRCSC,

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Presentation transcript:

Infective endocarditis: Perioperative management and surgical principles  Kareem Bedeir, MBChB, MS, Michael Reardon, MD, Basel Ramlawi, MD, MMSc, FRCSC, FACS, FACC  The Journal of Thoracic and Cardiovascular Surgery  Volume 147, Issue 4, Pages 1133-1141 (April 2014) DOI: 10.1016/j.jtcvs.2013.11.022 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Less extensive aorto-mitral curtain involvement can allow for primary or pericardial patch repair. A-C, Steps as labeled in the diagram. (Reprinted with permission from Ramlawi B, Reardon MJ. Endocarditis with involvement of the aorto-mitral curtain. Op Tech Thorac Cardiovasc Surg. 2011;16:242-9.) The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1133-1141DOI: (10.1016/j.jtcvs.2013.11.022) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 With more extensive aorto-mitral curtain involvement, adequate eradication of infection might require the removal of the entire aortic root, with reconstruction using an aortic root allograft with retained anterior mitral leaflet together with coronary reimplantation. A-D, Steps as labeled in the diagram. (Reprinted with permission from Ramlawi B, Reardon MJ. Endocarditis with involvement of the aorto-mitral curtain. Op Tech Thorac Cardiovasc Surg. 2011;16:242-9.) The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1133-1141DOI: (10.1016/j.jtcvs.2013.11.022) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions