Repair of bicuspid aortic valve in the presence of endocarditis and leaflet perforation

William D T Kent, Hadi Daood Toeg, Jehangir J. Appoo

Research output: Contribution to journalArticlepeer-review


Aortic valve repair can be a good option in younger patients who have severe aortic regurgitation. A systematic, disease-directed approach can simplify repair. This case report describes how a simplified approach can be successfully applied to complex pathologic conditions of the aortic valve. A 49-year-old man with a bicuspid aortic valve and a history of endocarditis presented with severe aortic regurgitation and evidence of recurrent infection. Intraoperatively, we found congenital and degenerative aortic anatomy with endocarditis and perforation. We performed aortic valve repair to enable leaflet coaptation and to adjust the coaptation height. After 24 months, the patient remained well, with an intact repair and trivial aortic regurgitation. We describe our systematic repair approach and rationales for targeting repairs to identified lesions. To our knowledge, this is the first description of complex aortic valve repairs in a patient who had simultaneous congenital, degenerative, and infectious conditions.

Original languageEnglish (US)
Pages (from-to)67-69
Number of pages3
JournalTexas Heart Institute Journal
Issue number1
StatePublished - Feb 2014


  • Aortic valve insufficiency/classification/etiology
  • Aortic valve/ abnormalities/pathology/ surgery
  • Cardiac surgical procedures/methods
  • Suture techniques
  • Treatment outcome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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