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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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[Aortic infective endocarditis: Value of surgery. About 48 cases]
M Tribak1, M Konaté2, A Elhassani1
1Service de chirurgie cardiovasculaire B, hôpital Ibn Sina, Rabat, Maroc.
Annales De Cardiologie Et D'Angeiologie
|March 28, 2015
Summary
Surgery for active aortic infective endocarditis (IE) and healed IE shows good short- and mid-term outcomes. Early intervention for IE improves patient prognosis, reducing morbidity and mortality.
Area of Science:
- Cardiology
- Cardiac Surgery
- Infectious Diseases
Background:
- Infective endocarditis (IE) is a severe condition where aortic valve involvement often leads to heart failure and complications, necessitating prompt surgical intervention.
- Early management is crucial for improving the prognosis of infective endocarditis.
Purpose of the Study:
- To compare the short- and mid-term surgical outcomes for aortic infective endocarditis (IE) in its active versus healed phases.
- To evaluate the impact of surgical timing on morbidity and mortality in patients with aortic IE.
Main Methods:
- Retrospective analysis of 48 consecutive patients undergoing surgery for aortic IE between 2000 and 2012.
- Data collected included operative mortality, morbidity, and major cardiovascular events such as recurrent endocarditis, reintervention, and stroke.
Main Results:
- Twenty-three patients (48%) had surgery during active IE (Group I), and 25 (52%) during healed IE (Group II).
- Heart failure was the primary indication for surgery in both groups, with cardiogenic shock more prevalent in Group I.
- Aortic valve replacement with a mechanical prosthesis was performed in 83% of cases, with low operative mortality (1 patient in Group I) and no IE recurrence during a mean 30-month follow-up.
Conclusions:
- Aortic valve infective endocarditis carries a severe prognosis due to rapid progression to heart failure.
- Early medical and surgical management of aortic IE yields favorable short- and mid-term results regarding morbidity and mortality.
Keywords:
Aortic valveEndocardite infectieuseHeart failureInfective endocarditisInsuffisance cardiaqueRecurrenceRemplacement valvulaireRécidiveValve aortiqueValvular replacementMore Related Videos
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