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Updated: May 3, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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[Long-term results after surgery for acute aortic endocarditis]
P R Vogt1, H P Brunner-Larocca
1Klinik für Herz- und Gefäßchirurgie, Universitätsklinikum, Rudolf-Buchheim-Str. 7, 35385, Gießen, Germany, paul.vogt@chiru.med.uni-giessen.de.
Zeitschrift Fur Kardiologie
|January 22, 2014
Summary
Surgery for acute infectious aortic endocarditis shows mechanical valves offer better long-term survival than bioprostheses or allografts. Early intervention is crucial, as destructive endocarditis and prolonged surgery impact outcomes.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Biomaterials Science
Context:
- Acute infectious aortic endocarditis poses significant surgical challenges.
- Comparison of cryopreserved allografts versus prosthetic heart valves (bioprostheses and mechanical) in aortic valve replacement.
- Evaluation of long-term outcomes and risk factors.
Purpose:
- To compare the late results of aortic valve replacement using allografts versus prosthetic heart valves in patients with acute infectious aortic endocarditis.
- To identify risk factors associated with early and late mortality and reoperation.
Summary:
- A study of 336 patients found allografts were associated with more frequent prosthetic and destructive endocarditis.
- Thirty-day mortality was higher with allografts (19%) compared to prosthetic valves (6%).
- After 20 years, actuarial survival was 60% for mechanical valves, 44% for bioprostheses, and 38% for allografts. Reoperation was avoided in 52% of mechanical valve recipients versus 10% for others.
Impact:
- Mechanical heart valves demonstrate superior long-term survival and reduced reoperation rates in acute infectious aortic endocarditis.
- Destructive endocarditis and acute infection at surgery are poor prognostic indicators.
- Surgical technique and cardiopulmonary bypass time significantly influence patient survival.
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