Surgical management of extensive aortic root endocarditis with
ventricular septal rupture: A case report
A 79-year-old man was referred for severe cardiac decompensation. Chest
radiography showed severe pulmonary edema, and transesophageal
echocardiography revealed a large quantity of vegetation on all aortic
valve leaflets with severe aortic valve regurgitation, heterogeneous
cavities adjacent to the aortic annulus, and ventricular septal rupture.
We performed thorough and extensive debridement of the aortic root;
including the infected ventricular septum, reconstructed the ventricular
septum and aortic root using autologous and bovine pericardial patches;
and placed a bioprosthetic stented valve. The patient was discharged
without any complications, and without recurrence of the endocarditis in
the four years post-surgery.