Results of allograft aortic valve replacement for complex endocarditis

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Presentation transcript:

Results of allograft aortic valve replacement for complex endocarditis Joseph A. Dearani, MD, Thomas A. Orszulak, MD, Hartzell V. Schaff, MD, Richard C. Daly, MD, Betty J. Anderson, RN, Gordon K. Danielson, MD The Journal of Thoracic and Cardiovascular Surgery Volume 113, Issue 2, Pages 285-291 (February 1997) DOI: 10.1016/S0022-5223(97)70325-8 Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Actuarial patient survival after allograft AVR for complex endocarditis. Expected, Survival for an age-matched population; NVE, native valve endocarditis; PVE, prosthetic valve endocarditis. Absolute numbers of patients surviving are indicated at yearly intervals. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 285-291DOI: (10.1016/S0022-5223(97)70325-8) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 Cumulative risk of reoperation for all patients; the absolute numbers at risk are indicated. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 285-291DOI: (10.1016/S0022-5223(97)70325-8) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 3A Four-chamber view demonstrating two defects from endocarditis: one annular defect involving the anterior leaflet of the mitral valve and the other a left ventricular outflow tract defect involving the ventricular septum. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 285-291DOI: (10.1016/S0022-5223(97)70325-8) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 3B Circumferential reconstruction of the aortic root with the allograft aortic valve being used as an intraaortic cylinder. Note that the allograft anterior mitral leaflet is used to repair the ventricular septal defect and a portion of the allograft aortic wall is attached the recipient anterior mitral leaflet. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 285-291DOI: (10.1016/S0022-5223(97)70325-8) Copyright © 1997 Mosby, Inc. Terms and Conditions