Homograft With Bovine Pericardial Tube

<p> This video demonstrates a technique of complex aortic reconstruction in bacterial endocarditis. The patient had a previous aortic valve replacement for native valve endocarditis, then a subsequent aortic root with a bio-Bentall procedure and hemiarch for recurrent bacterial endocarditis.<br>The patient presented years later with recurrent bacterial endocarditis with an aortic root abscess and valve vegetation. The procedure in the video highlights the use of a divided homograft: the distal aspect to replace the infected previous hemiarch graft, and the proximal homograft root to replace the infected bio-Bentall. To unite the two separated ends of the homograft, a handmade pericardial tube was created and utilized to replace the ascending aorta.<br></p>