The Konno procedure was performed to replace the aortic valve and the sinus
of Valsalva in a 1-year-old child with pneumococcal infective endocarditis
. A Dacron (C.R. Bard, Haverhill, PA) graft and a 16 AP ATS Medical valve (
ATS Medical Inc, Minneapolis, MN) were used. Adequate debridement could be
easily performed. Postoperative recovery was uneventful. The procedure, ori
ginally developed for a narrow aortic annulus, could be a good option for t
he treatment of a small child with aortic valve endocarditis. (C) 2000 by T
he Society of Thoracic Surgeons.