Successful treatment of challenging case of infective endocarditis

Abstract

Introduction/aim: We are presenting the case of a patient suffering from fibrous cardiac skeleton damage caused by advanced infective endocarditis after aortic valve replacement surgery, whose cardiac surgery treatment proved to be successful. Case report: A redo procedure was performed through a median sternotomy using cardiopulmonary bypass. Artificial aortic and native mitral valves were excised and all infected tissue removed. Reconstruction of the fibrotic cardiac skeleton was done using two autologous pericardial patches according to Tyrone-David. Both mechanical valves were implanted. Conclusion: Successful treatment of one of the most difficult conditions in cardiac surgery can be achieved in our country.