Aortic root complications of infective endocarditis—influence on surgical outcome
| Autor: | Tom Treasure, M. F. Sturridge, W. B. Pugsley, R. H. Swanton, Roy M. John |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Reoperation Aortic valve medicine.medical_specialty Aorta Thoracic Postoperative Complications Aneurysm Streptococcal Infections medicine.artery Humans Medicine Thoracic aorta Endocarditis Abscess Aged Aged 80 and over Aorta Aortitis business.industry Endocarditis Bacterial Middle Aged Mycotic aneurysm medicine.disease Aortic Aneurysm Surgery medicine.anatomical_structure Aortic Valve Heart Valve Prosthesis Infective endocarditis cardiovascular system Mitral Valve Female Cardiology and Cardiovascular Medicine business Aneurysm Infected Follow-Up Studies |
| Zdroj: | European Heart Journal. 12:241-248 |
| ISSN: | 1522-9645 0195-668X |
| Popis: | Fifty cases of aortic valve endocarditis during a 6-year period between 1982 and 1988 were reviewed. Twenty-three (46%) had aortic root complications by way of aortic root abscess or mycotic aneurysm in the perivalvular area. Patients with root complications were grouped into the aortic root abscess (ARA) group and those without into a non root abscess (NARA) group. Prosthetic valve endocarditis dominated in the ARA group (12 and four cases of prosthetic valve infection in the ARA and NARA groups, respectively; P less than 0.01). Surgical mortality was significantly higher at 13.6% in the ARA group as opposed to 2.2% in the NARA group (P less than 0.05). Post-operative aortic regurgitation was present in 8 (57%) of 14 patients in the ARA group surviving surgery but in only two (8.7%) of 23 patients in the NARA group (P less than 0.03). We conclude that aortic root complications are a frequent occurrence in aortic valve endocarditis, lead to an increased operative mortality and is associated with a high incidence of post-operative aortic regurgitation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|