We report The implantation of a fresh, stentless pulmonary homograft i
n the mitral position as an attempt to treat the 2nd recurrence of pro
sthetic endocarditis in a 66-year-old man. The postoperative course wa
s uneventful; early postoperative transesophageal echocardiography sho
wed a competent valve with a gradient of 4.2 mmHg. Fifteen months post
operatively, transthoracic echocardiography showed a good functioning
homograft with a competent valve and no recurrence of endocarditis.