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Eur J Cardiothorac Surg 2001;19:369-371
© 2001 Elsevier Science NL

Case report

The freestyle stentless aortic bioprosthesis: more about the subcoronary technique

Department of Cardiothoracic Surgery, Hôpital Henri Mondor, 51 Avenue du Maréchal de Lattre de Tassigny, 94 010 Créteil Cédex, France

Received 29 May 2000; received in revised form 13 November 2000; accepted 13 December 2000.

Corresponding author Tel.: +33-1-4981-2151; fax: +33-1-4981-2552.
e-mail: loisance{at}univparis12.fr

Two years after aortic valve replacement with a Freestyle stentless aortic xenograft using the partial scallop inclusion technique, late prosthetic valve endocarditis developed with abscess formation in the space between the porcine and native human aortic wall. The presence of such a periprosthetic dead space exposes the patient to increased postoperative pressure gradients and the risk of superinfection.

Key Words: Stentless bioprostheses • Endocarditis

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