Algadheeb MS, Malik MI, Besa-Bandeira S, Valdis M, Tzemos N, Bagur R, Chu MWA. Contemporary surgical management of infective endocarditis of the aortic root.
Indian J Thorac Cardiovasc Surg 2024;
40:83-92. [PMID:
38827543 PMCID:
PMC11139825 DOI:
10.1007/s12055-023-01604-6]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 09/01/2023] [Accepted: 09/04/2023] [Indexed: 06/04/2024] Open
Abstract
Infective endocarditis involving the aortic root is associated with a high degree of morbidity and mortality. Native aortic root infections can develop from aggressive organisms or from delays in diagnosis or definitive care, whereas prosthetic valve infections commonly result in extensive destruction of the aortic root and neighboring structures. Early detection, tailored antibiotic therapy, thoughtful pre-operative planning, and multidisciplinary heart team management are the keys to optimizing patient outcomes. Aggressive and complete surgical debridement are mandatory prior to aortic root reconstruction. Surgical experience and patient-centered decision making are critical in selecting the optimal reconstructive strategy for the aortic root and adjacent structures.
Supplementary Information
The online version contains supplementary material available at 10.1007/s12055-023-01604-6.
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