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Eur J Cardiothorac Surg 2004;26:863-865
© 2004 Elsevier Science NL

Case report

Aortic root replacement after recent intracerebral hemorrhage

^a Department of Pediatric Cardiac Surgery, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, BS2 8BJ, UK
^b Department of Clinical Perfusion, Bristol Royal Hospital for Children, Bristol, UK
^c Intensive Care, Bristol Royal Hospital for Children, Bristol, UK

Received 12 February 2004; received in revised form 19 June 2004; accepted 8 July 2004.

^* Corresponding author. Tel.: +44-117-342-8854; fax: +44-117-342-8857. (E-mail: andrew.parry{at}ubht.swest.nhs.uk).

A 12-year-old boy presented with an intracerebral haemorrhage secondary to Staphylococcus aureus endocarditis. He developed worsening aortic regurgitation and required aortic root replacement. In view of his recent haemorrhage, a heparin-bonded cardiopulmonary bypass circuit with low dose systemic heparinisation was used. No further intracerebral bleeding ensued and his neurological condition slowly improved.