Abstract | BACKGROUND: Aortic valve endocarditis remains a life-threatening condition, especially in cases of periannular complications. Aorto-ventricular discontinuity associated with proximal false aneurysm represents a severe picture caused by extensive tissue disruption and is usually associated with prosthetic valve infection. Complex surgical repair is required in these cases and continues to be associated with high mortality and morbidity rates. METHODS: We retrieved information for 32 patients undergoing operation for infective aortic valve/prosthetic valve endocarditis complicated by pseudoaneurysm arising from aorto-ventricular discontinuity. Patients were relatively young, mostly male and most of them had a prior cardiac operation. Aortic root replacement with valve graft conduit was performed in all cases; it was associated with other procedures in seven patients: CABG (n=2), MV surgery (n=3), MV surgery + CABG (n=1) and pulmonary valve replacement (n=1). We reported and analysed patient outcomes at early and mid-term follow-up. RESULTS: CONCLUSIONS: Patients with complicated aortic valve endocarditis presented generally in a poor preoperative state. Surgical treatment poses a non-negligible risk of postoperative mortality and morbidity but provides an acceptable survival rate and a satisfactory recovery at mid-term.
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Authors | Pietro Giorgio Malvindi, Elisa Mikus, Luca Caprili, Giuseppe Santarpino, Vito Margari, Simone Calvi, Giuseppe Nasso, Renato Gregorini, Carmine Carbone, Alberto Albertini, Giuseppe Speziale, Domenico Paparella |
Journal | Annals of cardiothoracic surgery
(Ann Cardiothorac Surg)
Vol. 8
Issue 6
Pg. 667-674
(Nov 2019)
ISSN: 2225-319X [Print] China |
PMID | 31832357
(Publication Type: Journal Article)
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Copyright | 2019 Annals of Cardiothoracic Surgery. All rights reserved. |