{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T17:22:04Z","timestamp":1770916924354,"version":"3.50.1"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T00:00:00Z","timestamp":1575331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An extensive infection of the native aortic or prosthetic valve beyond the aortic annulus could be complicated with various types and degrees of tissue destruction. The left ventricular\u2013aortic discontinuity resulting from extensive infective endocarditis often necessitates pericardial reconstruction of the left ventricular outflow tract and subsequent aortic root replacement. Furthermore, if the membranous ventricular septum is involved with infective tissue destruction, communication between the left ventricle and right atrium, known as a Gerbode defect, and complete atrioventricular block could occur. Surgical reconstruction of these complex pathologies is challenging, with high mortality and morbidity. Herein, we present a rare case of prosthetic valve endocarditis complicated with both left ventricular\u2013aortic discontinuity and an acquired Gerbode defect. At the time of surgery, left ventricular outflow tract reconstruction and the technically more demanding aortic root replacement were considered inevitable because of extensive tissue destruction. However, we performed circumferential left ventricular outflow tract reconstruction with a xenopericardial patch and supra-annular aortic valve replacement using the Solo Smart bovine pericardial stentless valve as a technically less demanding alternative to aortic root replacement. The postoperative course was uneventful, and the patient is well 1\u2009year postoperatively, without valvular dysfunction and recurrent infection.<\/jats:p>","DOI":"10.1093\/icvts\/ivz284","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T07:10:07Z","timestamp":1574406607000},"page":"439-442","source":"Crossref","is-referenced-by-count":9,"title":["Surgical treatment for left ventricular\u2013aortic discontinuity and Gerbode defect with endocarditis"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0892-2267","authenticated-orcid":false,"given":"Tetsuro","family":"Uchida","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-3894","authenticated-orcid":false,"given":"Yoshinori","family":"Kuroda","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimihiro","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuaki","family":"Sadahiro","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,12,3]]},"reference":[{"key":"2020022609294713300_ivz284-B1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.athoracsur.2013.03.060","article-title":"Surgical treatment of aortic valve endocarditis with left ventricular-aortic discontinuity","volume":"96","author":"Takahashi","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2020022609294713300_ivz284-B2","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/S0022-5223(19)35883-0","article-title":"Prosthetic valve endocarditis. The case for prompt surgical management","volume":"92","author":"Rocchiccioli","year":"1986","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2020022609294713300_ivz284-B3","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/00000658-195809000-00012","article-title":"Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure","volume":"148","author":"Gerbode","year":"1958","journal-title":"Ann Surg"},{"key":"2020022609294713300_ivz284-B4","article-title":"Is the freedom SOLO stentless bioprosthesis a useful tool for patients with aortic endocarditis and aortic annular destruction?","author":"Repossini","year":"2018","journal-title":"Thorac Cardiovasc Surg"},{"key":"2020022609294713300_ivz284-B5","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1111\/jocs.14149","article-title":"Modified Commando operation using stentless aortic bioprosthesis","volume":"34","author":"Uchida","year":"2019","journal-title":"J Card Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/30\/3\/439\/32651152\/ivz284.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/30\/3\/439\/32651152\/ivz284.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T09:30:03Z","timestamp":1582709403000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/30\/3\/439\/5651046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,3]]},"references-count":5,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,12,3]]},"published-print":{"date-parts":[[2020,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivz284","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,3]]},"published":{"date-parts":[[2019,12,3]]}}}