We report a case of infective endocarditis on a Perceval S aortic valve bioprosthesis, and we describe a feasible and useful technique that can help remove the infected valve. These maneuvers consist of an “x-movement” reached with the aid of anatomical forceps. The risk of infective endocarditis in patients with prosthetic valves is a well-known phenomena in cardiac surgery, and it can represent a life-threatening event in many cases. According to guidelines, an emergency surgical intervention is required in case of high risk of embolization, vegetation superior than 1 cm or acute cardiac failure secondary to the acute valve dysfunction. In the reported case, the patient was submitted to emergency surgery because of vegetation with diameter superior to 1 cm on the aortic bioprosthesis. The described “x-movement” technique allowed an easily “en block” excision of the damaged bio-prostheses together with vegetation, minimizing the risk of vegetation fragmentation.

Rapid Explantation of Rapid-Deployment Sutureless Valve in Case of Acute Endocarditis: How to Remove Safely Sutureless Perceval S Prostheses

Santarpino G.
2017-01-01

Abstract

We report a case of infective endocarditis on a Perceval S aortic valve bioprosthesis, and we describe a feasible and useful technique that can help remove the infected valve. These maneuvers consist of an “x-movement” reached with the aid of anatomical forceps. The risk of infective endocarditis in patients with prosthetic valves is a well-known phenomena in cardiac surgery, and it can represent a life-threatening event in many cases. According to guidelines, an emergency surgical intervention is required in case of high risk of embolization, vegetation superior than 1 cm or acute cardiac failure secondary to the acute valve dysfunction. In the reported case, the patient was submitted to emergency surgery because of vegetation with diameter superior to 1 cm on the aortic bioprosthesis. The described “x-movement” technique allowed an easily “en block” excision of the damaged bio-prostheses together with vegetation, minimizing the risk of vegetation fragmentation.
2017
Aortic stenosis; Endocarditis; Rapid-deployment valves; Redo surgery; Sutureless valves; Aged; Aortic Valve; Aortic Valve Stenosis; Calcinosis; Coronary Artery Bypass; Coronary Artery Disease; Device Removal; Endocarditis, Bacterial; Humans; Male; Non-ST Elevated Myocardial Infarction; Prosthesis-Related Infections; Purpura, Thrombocytopenic, Idiopathic; Bioprosthesis; Heart Valve Prosthesis
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12317/60395
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