Authors: Mert Dumantepe, Lieutenant; Umit Gullu, Lieutenant A.; Gurkan Komurcu, Lieutenant; Kaan Inan, Major B.; Turan Yilmaz, Colonel A.

Source: Military Medicine, Volume 174, Number 7, July 2009 , pp. 770-772(3)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

ABSTRACT

Infective endocarditis is a diagnostic and therapeutic challenge that ultimately requires surgical intervention in 20% of all cases. Surgical treatment of active infective endocarditis requires not only hemodynamic repair, but also special emphasis on the eradiation of the infectious focus to prevent recurrence. This goal can be achieved by the combination of aggressive debridement of infective tissue and appropriate and adequate antibiotic treatment. We report a case of Streptococcus viridans induced aortic valve perforation related to aortic valve and root endocarditis, which was successfully treated with aortic root replacement using stentless bioprosthesis. This bioprosthesis thus seems to be a valuable option for active endocarditis, provides excellent hemodynamics with low gradients. Acceptable operative risk can be achieved by full root stentless valve replacement in physically active patients such as divers.

Document Type: Research article

Publication date: 2009-07-01

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• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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