Surgical Management of Group A β-Hemolytic Streptococcal Aortic Root Abscess

Shota Masaki; Hiroomi Murayama; Noritaka Okada; Motoshi Kozakai; Takuya Osawa

doi:10.1016/j.athoracsur.2022.05.013

Surgical Management of Group A β-Hemolytic Streptococcal Aortic Root Abscess

Ann Thorac Surg. 2023 May;115(5):e113-e115. doi: 10.1016/j.athoracsur.2022.05.013. Epub 2022 May 21.

Authors

Shota Masaki¹, Hiroomi Murayama², Noritaka Okada², Motoshi Kozakai², Takuya Osawa²

Affiliations

¹ Department of Cardiovascular Surgery, Aichi Children's Health and Medical Center, Aichi, Japan. Electronic address: [email protected].
² Department of Cardiovascular Surgery, Aichi Children's Health and Medical Center, Aichi, Japan.

PMID: 35609649
DOI: 10.1016/j.athoracsur.2022.05.013

Abstract

This case report presents a pediatric patient with an aortic root abscess caused by group A β-hemolytic Streptococcus. After aggressive debridement of infected tissue, the continuity between the left ventricular outflow tract and aorta was reconstructed with autologous pericardium, and the aortic valve was replaced with a mechanical prosthesis using the Konno procedure with concomitant mitral valve plasty. We believe that radical resection of the abscess is an effective way to eradicate such a life-threatening infection.

Publication types

Case Reports

MeSH terms

Abscess* / etiology
Abscess* / surgery
Aorta / surgery
Aorta, Thoracic
Aortic Valve / surgery
Child
Heart Valve Prosthesis* / adverse effects
Humans