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Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

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Related Experiment Video

Updated: May 17, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

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Published on: May 21, 2017

Root replacement with stentless Freestyle bioprostheses for active endocarditis: a single centre experience.

Antonio Miceli1, Mariagrazia Croccia, Simone Simeoni

  • 1Department of Cardiac Surgery, Fondazione Toscana G. Monasterio' Massa, Pisa, Italy. antoniomiceli79@alice.it

Interactive Cardiovascular and Thoracic Surgery
|October 30, 2012
PubMed
Summary

Stentless Freestyle bioprostheses show promising outcomes for full-root replacement in patients with active valve endocarditis (VE), demonstrating low mortality and good hemodynamic function. This approach offers a safe option with low rates of reoperation and infection recurrence.

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Area of Science:

  • Cardiovascular Surgery
  • Prosthetic Valve Surgery
  • Infective Endocarditis

Background:

  • Active valve endocarditis (VE) poses significant challenges in cardiac surgery.
  • Stentless bioprostheses, like the Freestyle bioprosthesis, are increasingly used for aortic valve replacement.
  • Limited data exists on the efficacy of stentless Freestyle bioprostheses in full-root replacement for patients with active VE.

Purpose of the Study:

  • To evaluate the clinical outcomes of stentless Freestyle bioprostheses in patients undergoing full-root replacement for active valve endocarditis.
  • To assess mortality, reoperation rates, and recurrence of infection in this patient cohort.

Main Methods:

  • Retrospective analysis of 18 patients who underwent full-root replacement with Freestyle bioprostheses for active VE between February 2000 and June 2010.
  • Data collection included patient demographics, EuroSCORE, concomitant procedures, and follow-up outcomes.
  • Concomitant procedures included mitral valve replacement, ascending aorta replacement, and coronary artery bypass grafting (CABG).

Main Results:

  • In-hospital mortality was 11% (2 patients).
  • At a median follow-up of 24 months, there were no further deaths, and freedom from reoperation was 87.5%.
  • Patients exhibited excellent functional status (NYHA class I) and satisfactory echocardiographic results with 100% freedom from VE recurrence.

Conclusions:

  • Root replacement using stentless Freestyle bioprostheses in patients with active VE is associated with low early and mid-term mortality.
  • The procedure demonstrates favorable hemodynamic performance and low rates of valve-related morbidity.
  • Stentless Freestyle bioprostheses appear to be a safe and effective option for full-root replacement in active VE, with a low risk of recurrent infection.