Partial supracoronary translocation of the aortic valve prosthesis in a case of septic destruction of the aortic root.

A patient with infective endocarditis and septic disruption of the anterior aspect of the aortic root was successfully treated by insertion of a prosthetic valve obliquely, above the right coronary ostium anteriorly and below the left posteriorly. The right coronary ostium was closed and the artery was bypassed by use of an autogenous saphenous vein graft. The procedure is considered to be an alternative to the more radical complete supracoronary translocation of the prosthetic valve, as described by Danielson and colleagues.