Open Access

CASE REPORT

Neocuspidization of the Pulmonary Valve with Autologous Pericardium in the Adult Patient with Ventricular Septal Defect and Infective Endocarditis: A Case Report and Review of the Literature

Igor Mokryk^1,2,*, Vitaly Demyanchuk^1,2, Volodymyr Vashkeba², Ilya Nechay¹, Borys Todurov^1,2

1 Department of Adult Cardiac Surgery, Heart Institute, Kyiv, Ukraine
2 Department of Pediatric Cardiac Surgery, Heart Institute, Kyiv, Ukraine

* Corresponding Author: Igor Mokryk. Email:

Congenital Heart Disease 2022, 17(6), 641-646. https://doi.org/10.32604/chd.2022.025096

Received 22 June 2022; Accepted 09 August 2022; Issue published 11 October 2022

Abstract

Congenital heart disease (CHD) is one of the risk factors for developing infective endocarditis (IE). Right-sided IE occurs in 5%–10% of endocarditis cases, and pulmonary valve (PV) is involved in less than 2% of such patients. Literature data are few, and optimal treatment methods, indications for surgery, and types of operative techniques are still under debate. We present an adult patient with a rare combination of the ventricular septal defect (VSD) and PV IE who underwent surgical treatment. Neocuspidization with autologous pericardium was utilized for the reconstruction of his PV. We discuss details of this novel surgical technique.

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Graphical Abstract

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