Information about the surgical management of fibrous skeleton endocard
itis is incomplete, as the vast majority of current literature describ
es the isolated repair of either the aortic or the mitral annulus, the
combination rarely being addressed. Annular destruction, in the prese
nce of endocarditis, demands extreme ingenuity for surgical treatment
and cure. We describe and illustrate the Konno procedure for replaceme
nt of both infected mitral and aortic valves and repair of mycotic ven
tricular septal defects.