Korean J Thorac Cardiovasc Surg 2019; 52(2): 109-111  https://doi.org/10.5090/kjtcs.2019.52.2.109
Late Reoperation Following Ligation of the Left Main Coronary Artery in a Patient with Infective Endocarditis
Dong Woog Yoon , M.D., Sang On Lee , M.D., Pyo Won Park , M.D., Ph.D.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding author: Pyo Won Park, Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea,
(Tel) 82-2-3410-3481 (Fax) 82-2-3410-0089 (E-mail) pwpark@skku.edu
Received: August 16, 2018; Revised: November 8, 2018; Accepted: November 8, 2018.; Published online: April 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.
Keywords: Endocarditis, Coronary artery bypass, Reoperation


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