PMID: 3767509Oct 1, 1986Paper

Patch closure of aortic annulus mycotic aneurysms

The Annals of Thoracic Surgery
A C FioreD H Dillard

Abstract

Twenty-three patients with bacterial endocarditis and mycotic aneurysms of the aortic annulus were treated between 1978 and 1985. There were 18 men and 5 women ranging from 24 to 72 years old. All patients had congestive heart failure and positive blood cultures as a complication of the endocarditis and were in New York Heart Association (NYHA) Functional Class III or IV. The aneurysm complicated late prosthetic valve endocarditis in 7 patients and native valve endocarditis in 16. The most common infecting organisms were streptococci (12 patients) and staphylococci (7 patients). The noncoronary sinus was the most frequent site for aneurysm formation. Following debridement of the abscess cavity, the orifice of the aneurysm was closed with a patch of Dacron in 20 patients and autologous pericardium in 3. A prosthetic valve (18 bioprosthetic and 5 mechanical) was secured to the noninfected portion of the native annulus and to the patch at the level of annulus. There were 3 deaths, 1 perioperative and 2 late, each without evidence of residual infection or aortic insufficiency. There are 20 late survivors (87%). After a mean follow-up of 1 year, all patients are in NYHA Functional Class I. Patch closure of mycotic aneurysms involvin...Continue Reading

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Citations

Oct 31, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·A TakazawaS Sasaki
Nov 20, 2012·General Thoracic and Cardiovascular Surgery·Kenji Okada, Yutaka Okita
Oct 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·O DetryR Limet
Feb 1, 1989·The Annals of Thoracic Surgery·F Y ChanT W Williams
Sep 1, 1989·The Annals of Thoracic Surgery·J B ZwischenbergerV R Conti
Jul 1, 1993·The Annals of Thoracic Surgery·R L Prager
Jul 1, 1996·The Annals of Thoracic Surgery·J HayashiH Moro
Apr 1, 1996·The Annals of Thoracic Surgery·C KnosallaR Hetzer
Jul 1, 1996·The Annals of Thoracic Surgery·Y d'UdekemZ Sun
Mar 31, 2005·The Annals of Thoracic Surgery·Ichiya YamazakiHirokazu Kajiwara
Feb 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·J A DearaniG K Danielson
Mar 10, 2001·The Annals of Thoracic Surgery·R P Scott

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