Thorac Cardiovasc Surg 2011; 59(4): 247-248
DOI: 10.1055/s-0030-1250425
Case Reports/Cardiac

© Georg Thieme Verlag KG Stuttgart · New York

Reversed Root for Entirely Biological Aortic Valve and Ascending Aorta Replacement in a Patient with Endocarditis and Mediastinitis

J. M. Albes1 , T. Claus1
  • 1Department of Cardiovascular Surgery, Heart Center Brandenburg, Bernau, Germany
Further Information

Publication History

received June 1, 2010

Publication Date:
10 March 2011 (online)


A 59-year-old patient developed endocarditis with coagulase-negative staphylococci after aortic composite graft replacement and pacemaker implantation. She underwent complete pacemaker removal and tricuspid valve reconstruction. Pus was present in and around the aortic graft. Re-replacement of the aortic root and ascending aorta using only biological material was performed. A 23-mm full root stentless prosthesis (Vascutek Root Elan, Vascutec, Terumo, Leeds, UK) was used for aortic root replacement, and a second 25-mm full root prosthesis with removed cusps implanted in a reversed fashion was used for ascending aorta and proximal aortic arch replacement.


Prof. Dr. med. Johannes M. Albes, FETCS, MD, PhD

Department of Cardiovascular Surgery
Heart Center Brandenburg

Ladeburger Str. 17

16321 Bernau


Phone: +49 33 38 69 45 10

Fax: +49 33 38 69 45 44

Email: [email protected]