Unfortunate Accidental Twins: Two Patients with Endocarditis of a Valve-Bearing Conduit

Author:

Ostovar Roya1,Albes Johannes M.1

Affiliation:

1. Department of Cardiovascular Surgery, Heart Center Brandenburg, University Hospital Brandenburg Medical School, Faculty of Health Sciences, Bernau, Brandenburg, Germany

Abstract

Abstract Background Prosthetic valve endocarditis is becoming more common because many patients live long enough to experience bacteremia, while insufficient antibiotic prophylaxis eventually leads to graft infection. Valve-bearing conduit infections are the most feared because of technical challenges. Case Description Two young patients were coincidental twins in terms of diagnosis and therapy. Both underwent complete replacement of the conduit, aortic arch prosthesis, and additional strategies to reconnect the coronary ostia and the brachiocephalic trunk. Both were discharged without significant residual problems. Conclusion Even most demanding infectious problems can be solved. Thus, surgery should not be denied.

Funder

German Research Foundation and the Ministry of Science, Research and Cultural Affairs of the State of Brandenburg

Publisher

Georg Thieme Verlag KG

Subject

General Engineering

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