AI Summary & Key Takeaways
AI InsightAfter 4 years from valve replacement, the patient was reoperated and homogreft aortic root was replaced as a result of prosthetic valve endocarditis, aortic root abscess and fistulization to right atrium and left ventricle.
📌 3 Key Takeaways
Abstract
Aortic root abscess is a frequent complication of prosthetic valve endocarditis. However, fistulization to the right atrium is a rare complication of aortic root abscess. Homogreft aortic root replacement is suggested for the surgical treatment of aortic valve endocarditis. We demostrated the case report of a 16 year-old male who had undergone aortic valve replacement with posterior aortic root enlargement because of severe aortic stenosis in 1998. After 4 years from valve replacement, the patient was reoperated and homogreft aortic root was replaced as a result of prosthetic valve endocarditis, aortic root abscess and fistulization to right atrium and left ventricle.
Özet
Protez kapak infektif endokarditlerinde para-aortik yayılım sık izlenen bir komplikasyondur. Bununla birlikte aort kökü apsesi, psödoanevrizma formasyonu ve sağ atriyuma fistülizasyon nadir komplikasyonlardır. 1998 yılında aort darlığı nedeniyle aort kökü genişletilmesi ve aort kapak replasmanı uygulanan 16 yaşındaki erkek hastada 4 yıl sonra protez kapak endokarditi, aort kökü apsesi ve sağ atriyum ile sol ventriküle fistülizasyon geliştiği belirlendi. Acil cerrahi girişimle homogreft kullanılarak aort kökü replasmanı yapılan olgu sunuldu.