Surgical outcomes and optimal approach to treatment of aortic valve endocarditis with aortic root abscess.

ABSTRACT:

Objectives

To evaluate the impact of aortic root abscess (ARA) on the postoperative outcomes of surgically managed infective endocarditis (IE) and to inform optimal surgical approach.

Methods

Between 2009 and 2020, 143 consecutive patients who underwent surgical management for aortic-valve IE were included in a retrospective cohort study. Multivariable and propensity-weighted analyses were used to adjust for demographic imbalances between those without (n = 93; NARA) and with an ARA (n = 50). Additionally, empirical subgroup analysis appraised the two most used surgical techniques; patch reconstruction (PR) and aortic root replacement (ARR).

Results

Demographic characteristics were similar between ARA and NARA except for logistic EuroSCORE, previous valve surgery, and

SUBMITTER: Harris WM 

PROVIDER: S-EPMC9321057 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature