PMID: 9423942Jan 10, 1998Paper

Aortic valve or root replacement with cryopreserved homograft for active infectious endocarditis

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
A RiberiJ R Monties

Abstract

Active aortic endocarditis is a serious condition that carries a high mortality and morbidity. The aim of this study was to analyse results obtained from 24 patients who underwent aortic valve or root replacement with cryopreserved homograft for aortic endocarditis. Eleven patients had native valve endocarditis, and 13 had prosthetic valve endocarditis. The mean age was 47.7 years: there were seven women and 17 men. Causative organisms were staphylococci (12), streptococci (four), serratia (one), candida (one), pneumococci (one), while no organisms were isolated in the remaining five patients. Complete reconstruction of the aortic annulus with homograft conduits was necessary in 20 patients (six total root and 14 mini-root). Infracoronary homograft aortic valve replacement was performed in the remaining patients. One patient died 1 day after the operation from ventricular failure, and two others died after 4 and 6 months as a result of arrhythmia. One patient died of recurrent endocarditis 1 year after surgery. The actuarial survival rate at 3 years was 83.4%. All survivors are symptom-free, with no evidence of recurrent endocarditis. Doppler echocardiography showed minimal aortic regurgitation in four patients.

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Citations

Dec 10, 1999·The Annals of Thoracic Surgery·A OsmanH L Lazar
May 9, 2000·The Annals of Thoracic Surgery·K GohT Sasajima
Jun 13, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Harun ArbatliHugo Vanermen
Feb 21, 2002·Infection and Immunity·Kent B MartySteven R Blanke
Aug 20, 2010·The Heart Surgery Forum·Eckehard KilianBruno Reichart
Jul 3, 1999·The Annals of Thoracic Surgery·J S CoselliS A LeMaire
Aug 24, 2011·The Heart Surgery Forum·Ferdinand VogtEckehard Kilian
Aug 27, 2005·The Annals of Thoracic Surgery·Sachin TalwarArkalgud Sampath Kumar
Mar 25, 1998·Mayo Clinic Proceedings·M E StaabT A Orszulak
Dec 13, 2005·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Yoshitaka HayashiYasuhiko Kobayashi
Jun 28, 2016·Infectious Diseases in Clinical Practice : IDCP·Varun K Phadke, Jesse T Jacob
Nov 25, 2003·Southern Medical Journal·Maria E MontoyaMasood Ahmad

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