Takashi Ando 
	
					    												Yokohama Rosai Byoin, 
Yokohama, Kanagawa
Japan						                            
                            
						
 Case Report
												Successful Management of Refractory Prosthetic Vessel Infection, Prosthetic Valve Endocarditis and Mediastinitis: Report of a Case-Late Timing Caused Repeated Surgery 						
Author(s): Takashi Ando, Daichi Akiyama, Hioshi Okada and Makoto TakedaTakashi Ando, Daichi Akiyama, Hioshi Okada and Makoto Takeda             
						
												
				 The patient was diagnosed with anuloaortic ectasia with localized dissection in the right Valsalva sinus. He underwent aortic root replacement with mechanical valve. But, he was re-admitted for mediastinitis. Although his serum (CRP) level was normalized for one month, his body temperature suddenly rose to 40°C. An emergency operation was performed including re-sternotomy, drainage, and irrigation. However, a proximal anastomotic site ruptured and he went into shock. Following cardiopulmonary bypass, we performed a second aortic root replacement. Therefore, the patient was operated for sternum debridement and to wrap the prosthetic vessel into an omental pedicle. Nine days after the last intervention, bleeding from the chest wound suddenly appeared and he went into shock. He was transported to the operating room to initiate cardiopulmonary bypass. During circulatory arrest, lacera.. View More»
				  
												DOI:
												 10.4172/2329-6925.1000328