Aortic valve repair in endocarditis: scope and results.
Aortic valve repair
Infective endocarditis
Patch repair
Journal
Indian journal of thoracic and cardiovascular surgery
ISSN: 0973-7723
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
08
02
2019
revised:
26
03
2019
accepted:
02
05
2019
entrez:
16
10
2020
pubmed:
17
10
2020
medline:
17
10
2020
Statut:
ppublish
Résumé
Infective endocarditis (IE) remains a prevalent and life-threatening disease. The choice to repair or replace the infected valve still remains a matter of debate, especially in aortic valve (AV) infections. We retrospectively analyze our two decades of experience in aortic valve repair (AVr) in IE. Long-term outcomes are described with particular attention to the impact of valve configuration and the use of patch techniques. From September 1998 to June 2017, 42 patients underwent AVr in a single center for IE. Techniques include leaflet patch repair and resuspension and aortic annulus stabilization. Hospital mortality was 2.4% ( In our experience, AVr is a safe, feasible, and efficient choice in selected patients with healed or active IE. Durability of the repair is excellent in patients with limited lesions and in patients with TAV even with patch repair. Reoperations occurred principally in patients with BAV and severe preoperative AI, in whom patch repair was performed. In those patients, we actually recommend to replace the valve in case of active endocarditis.
Identifiants
pubmed: 33061191
doi: 10.1007/s12055-019-00831-0
pii: 831
pmc: PMC7525605
doi:
Types de publication
Journal Article
Langues
eng
Pagination
104-112Informations de copyright
© Indian Association of Cardiovascular-Thoracic Surgeons 2019.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare that they have no conflict of interest.
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