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[Comparative outcome of aortic valve endocarditis with or without annular abscess]
O Stchepinsky1, N Danchin, C Selton-Suty
1Service de cardiologie A, CHU Nancy-Brabois, Vandoeuvre-lès-Nancy.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|July 1, 1995
Summary
Annular abscess complicates aortic valve endocarditis, leading to more severe cardiac issues and higher mortality. Early detection and treatment are crucial for improving patient outcomes in these serious cases.
Area of Science:
- Cardiology
- Infectious Diseases
- Surgical Pathology
Background:
- Annular abscess is a serious complication of aortic valve endocarditis.
- Prognosis can vary significantly based on the presence of an abscess.
Purpose of the Study:
- To evaluate the prognosis of aortic valve endocarditis with and without annular abscess.
- To compare clinical features and outcomes between patients with and without aortic ring abscess.
Main Methods:
- Retrospective study of 122 consecutive cases of aortic endocarditis (January 1981-1989).
- Patients categorized into three groups: aortic ring abscess (surgery), operated without abscess, and medically treated without abscess.
- Duke University criteria used for diagnosis.
Main Results:
- Annular abscess cases showed more severe cardiac failure and higher hospital mortality (17.5% vs 7%).
- Destructive valve lesions were more common in abscess cases (57.5% vs 35%).
- Infections with specific streptococci and pneumococci were more frequent in abscess cases.
Conclusions:
- Aortic valve endocarditis with annular abscess is associated with a poorer prognosis.
- The presence of an abscess correlates with increased severity, complications, and mortality.
- Surgical intervention in abscess cases requires careful consideration due to higher risks.