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Reconstruction of the Left Ventricular Outflow Tract for Aortic Root Abscess

  • Shinichi Fukuhara
  • Michael A. BorgerEmail author
Chapter

Abstract

Infective endocarditis (IE) is a disease characterized by high morbidity and mortality despite tremendous improvements in medical and surgical management during the last few decades. IE complicated by aortic root abscess remains one of the largest clinical and surgical challenges. Patients presenting with complete aortic root destruction and involvement of the intervalvular fibrous body (IFB) and mitral valve are particularly challenging, requiring extensive reconstruction of the left ventricular outflow tract (LVOT) and IFB. In this chapter, the surgical management of aortic root abscess focusing on the principles and strategies of LVOT reconstruction is discussed.

Keywords

Endocarditis Aortic root abscess Patch repair Prosthetic valve endocarditis Left ventricular outflow tract Bioprostheses Homograft Stentless 

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Michigan Cardiovascular CenterAnn ArborUSA
  2. 2.Department for Cardiac SurgeryLeipzig Heart CenterLeipzigGermany

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