In:
Journal of Cardiovascular Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 19, No. Supplement 2 ( 2018-11), p. e42-
Abstract:
Aortic valve endocarditis remains a life threatening condition especially in case of extension of infection to the surrounding tissue. Aorto-ventricular discontinuity complicates the surgical procedures with worse short- and long-term outcomes. We aim to review patients’ characteristics and surgical results of this dreadful infective disease. Methods: we reviewed prospectively collected data from our central database looking at patients operated for infective aortic valve/prosthesis endocarditis complicated by pseudoaneurysm. We retrieved information of 35 patients operated on during the period 2011-2017. Results: Table 1 summarises demographic and preoperative data. Patients were relatively young, mostly male and most of them had a prior cardiac operation. Redo Bentall operation was performed in 32 cases, it was associated with other procedures in 7 patients: CABG (n = 2), MV surgery (n = 3), MVS + CABG (n = 1) and PVR (n = 1). Three patients underwent AVR: isolated (n = 1), plus MVR (n = 1), associated with ascending aorta replacement (n = 1). Unplanned CABG was necessary in 2 cases: for failure in coronary ostia reimplantation (n = 1) and myocardial ischaemia during CPB weaning (n = 1). The postoperative course was complicated in 29 cases. Nineteen patients sustained LCOS hesitating in MOFS and death in 6 cases. Two patients had major neurologic deficit (permanent cerebral stroke and coma). AKI complicated the course in 15 cases, CVVHD was necessary in 5 patients. Pre-discharge mortality was 23%. Conclusions: patients with complicated aortic valve endocarditis presented generally in a poor preoperative status. Complex aortic root surgery is the only life-saving procedure but it is still associated with high mortality and morbidity rate.
Type of Medium:
Online Resource
ISSN:
1558-2027
,
1558-2035
DOI:
10.2459/01.JCM.0000549966.37292.9c
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2018
Permalink