The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 633-635, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Partial supracoronary translocation of the aortic valve prosthesis in a case of septic destruction of the aortic root
CA Curcio
A patient with infective endocarditis and septic disruption of the anterior
aspect of the aortic root was successfully treated by insertion of a
prosthetic valve obliquely, above the right coronary ostium anteriorly and
below the left posteriorly. The right coronary ostium was closed and the
artery was bypassed by use of an autogenous saphenous vein graft. The
procedure is considered to be an alternative to the more radical complete
supracoronary translocation of the prosthetic valve, as described by
Danielson and colleagues.