Successful aortic valve replacement for severe aortic regurgitation combined with annular abscess due to active infected endocarditis: usefulness of gelatine-resorcine-formol biological glue in remodeling the new aortic annulus.

Two men, 58 and 72 years old, were diagnosed as severe aortic regurgitation complicated by aortic annular abscess due to active endocarditis infection diagnosed by echocardiography. We conducted aortic valve replacement using gelatine-resorcine-formol biological glue to close the abscess cavity and remodel the new aortic annulus. Although 1 man developed complete atrial-ventral blockage postoperatively and required that a permanent pacemaker be implanted, neither experienced recurrence of infectious peri-valvular leakage.