LONG-TERM RESULTS OF AORTIC-VALVE TRANSLOCATION FOR MYCOTIC PERIANNULAR ABSCESS - COMPARATIVE-STUDY OF DANIELSONS ORIGINAL METHOD AND OUR THREADLESS METHOD

Between June, 1983, and October, 1992, we performed Danielson's origin al translocation method in four patients (group I) and our translocati on method in seven patients (group II), for the treatment of active pe riannular abscess. There were no perioperative or hospital deaths in e ither group. The longterm results of these two groups are compared in this report. There were four late deaths (mortality rate 100%) in grou p I, and three late deaths (mortality rate 43%) in group II. The cause s of death were cardiac in six patients and noncardiac in one patient. Vein graft failure occurred in one group I patient (25%) and in two g roup II patients (28%). Rupture or aortic pseudoaneurysm formation occ urred in three group I patients (75%). These findings suggest that our threadless method may be superior to Danielson's original translocati on method. Therefore, with close observation, especially of saphenons vein great (SVG) failure, arterial graft use could be acceptable for t ranslocation.