Transaortic approach for combined aortotricuspid valve endocarditis.

Jahanyar, Jama;Aphram, Gaby;de Kerchove, Laurent;El Khoury, Gebrine
(2021) JTCVS Techniques — Vol. 10, n° 1, p. 302-305 (2021)

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Authors
  • Jahanyar, JamaUCLouvain
    Author
  • Aphram, GabyUCLouvain
    Author
  • de Kerchove, LaurentUCLouvain
    Author
  • El Khoury, GebrineUCLouvain
    Author
Abstract
Aortotricuspid valve infective endocarditis (IE) is rare, and surgical reports are limited to a few. The traditional approach is a combined transaortic and transatrial valve repair or replacement. In a recent study, 1-year mortality rates in native multivalve endocarditis were close to 30%, and there has been a recent shift in pathogens toward Staphylococcus. 1 Independent predictors of mortality were older age, Staphylococcus aureus, heart failure, septic shock, and persistent bacteremia. Herein, we report the management of a young patient with combined aortotricuspid valve endocarditis and our nontraditional, albeit successful, surgical approach.
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Jahanyar, J., Aphram, G., de Kerchove, L., & El Khoury, G. (2021). Transaortic approach for combined aortotricuspid valve endocarditis. JTCVS Techniques, 10(1), 302-305. https://doi.org/10.1016/j.xjtc.2021.08.022 (Original work published 2021)