Transaortic approach for combined aortotricuspid valve endocarditis.

Aortotricuspid valve infective endocarditis (IE) is rare, and surgical reports are limited to a few. The traditional approach is a combined transaortic and transatrial valve repair or replacement. In a recent study, 1-year mortality rates in native multivalve endocarditis were close to 30%, and there has been a recent shift in pathogens toward Staphylococcus. 1 Independent predictors of mortality were older age, Staphylococcus aureus, heart failure, septic shock, and persistent bacteremia. Herein, we report the management of a young patient with combined aortotricuspid valve endocarditis and our nontraditional, albeit successful, surgical approach