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Comparison of long term outcome in patients with or without aortic ring abscess treated surgically for aortic valve

N Danchin1, G Retournay, O Stchepinsky

  • 1Service de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-lès-Nancy, France. n.danchin@chu-nancy.fr

Heart (British Cardiac Society)
|January 29, 1999
PubMed
Abstract

Insights

Aortic valve ring abscesses in infective endocarditis patients do not independently predict poor long-term survival. However, increased residual aortic regurgitation necessitates specialized surgical approaches for paravalvular abscesses.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Clinical Prognostics

Background:

  • Infective endocarditis (IE) can lead to serious complications, including aortic valve ring abscesses.
  • The prognostic significance of aortic ring abscesses in IE patients remains a subject of investigation.

Purpose of the Study:

  • To evaluate the long-term prognostic impact of aortic valve ring abscesses in patients undergoing surgery for aortic infective endocarditis.

Main Methods:

  • A cohort analysis of 75 patients who underwent surgery for aortic IE between 1981 and 1989.
  • Patients were divided into two groups: 35 with aortic ring abscesses and 40 without.
  • Data on in-hospital mortality, long-term survival, and reintervention-free survival were analyzed.

Main Results:

  • No significant difference in in-hospital mortality or 10-year survival between patients with and without aortic ring abscesses.
  • Patients with native valve endocarditis and ring abscesses showed a trend towards lower 10-year reintervention-free survival (38% vs. 58%).
  • Residual aortic regurgitation was significantly more frequent in patients with ring abscesses (72% vs. 26%) at follow-up.

Conclusions:

  • Aortic valve ring abscess is not an independent predictor of poor long-term outcome in patients with infective endocarditis.
  • The high incidence of residual aortic regurgitation in patients with paravalvular abscesses suggests the need for tailored surgical techniques.

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