ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2020
Surgical treatment and long-term outcome of aortic valve endocarditis with periannular abscess.
Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Insights into a rare clinical phenomenon: Isolated native valve endocarditis subsequent to transcatheter prosthetic valve implantation.American heart journal plus : cardiology research and practice · 2026Review
- Article
- Modified bentall surgery using a graft insertion technique for prosthetic valve endocarditis with left ventricular-aortic discontinuity: a case report.General thoracic and cardiovascular surgery cases · 2026Article
- Annular reconstruction in infective endocarditis: Comparative analysis of surgical outcomes and infection recurrence.Medicine · 2026Observational
- Surgical Challenges in Infective Endocarditis: State of the Art.Journal of clinical medicine · 2023Review
- Results of the inoperable and operable with aortic valve endocarditis.Frontiers in cardiovascular medicine · 2023Article
- Early Mortality Predictors in İnfective Endocarditis Patients: A Single-Center Surgical Experience.Brazilian journal of cardiovascular surgery · 2022Article
- Surgical Aortic Mitral Curtain Replacement: Systematic Review and Metanalysis of Early and Long-Term Results.Journal of clinical medicine · 2021Review
- PR interval prolongation is significantly associated with aortic root abscess: An age- and gender-matched study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2021Article
- Article
- Aortic root abscess complicating a unicuspid aortic valve in a 15-year-old boy: A case report on surgical management.Annals of pediatric cardiologyArticle
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6 authors.
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Abstract
objectivesAortic valve endocarditis is occasionally complicated by periannular spreading of the infection and abscess formation, leading to a more aggressive course of the disease and life-threatening complications. This retrospective observational study investigated the long-term outcomes of patients with this complication, which was surgically managed with annular reconstruction and aortic valve replacement.
methodsBetween 1998 and 2018, 69 patients were identified with aortic valve endocarditis complicated by periannular abscess formation. All patients were treated with debridement of the infected tissue, gentamicin filling of abscess cavities, annulus reconstruction with bovine pericardium, and valve replacement. Long-term follow-up was performed to detect the rate of recurrence of endocarditis, aortic valve reoperation and survival.
resultsMean age was 58 ± 15 years, 81% of patients were male, and the infected valve was native in 51% of all patients. The overall mortality was 36%, with a 30-day mortality of 13% and 120-day mortality of 16%. Five- and 10-year survival was 69.4 ± 12.0% and 55.7 ± 14.3%, respectively. Ten-year freedom from recurrent endocarditis was 83.5 ± 13.3%.
conclusionEndocarditis with annular abscess remains associated with high morbidity and mortality and aggressive treatment of the infected tissue and abscess cavities is crucial. Compared with earlier literature, long-term outcome of annular reconstruction in this series is comparable to that of aortic root replacement.
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