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Contemporary surgical management of infective endocarditis of the aortic root. | LitMetric

Contemporary surgical management of infective endocarditis of the aortic root.

Indian J Thorac Cardiovasc Surg

Division of Cardiac Surgery, Western University, B6-106 University Hospital, LHSC, 339 Windermere Road, London, ON N6A 5A5 Canada.

Published: May 2024

AI Article Synopsis

  • - Infective endocarditis of the aortic root can lead to severe health issues and is often linked to high rates of complications and death.
  • - Infections may arise from harmful bacteria or delays in treatment, especially in cases involving prosthetic valves that can severely damage surrounding structures.
  • - Timely diagnosis, precise antibiotic treatment, thorough surgical preparation, and teamwork among healthcare professionals are essential for improving patient recovery, including the need for comprehensive surgical cleaning before reconstructing the aortic root.

Article Abstract

Unlabelled: Infective endocarditis involving the aortic root is associated with a high degree of morbidity and mortality. Native aortic root infections can develop from aggressive organisms or from delays in diagnosis or definitive care, whereas prosthetic valve infections commonly result in extensive destruction of the aortic root and neighboring structures. Early detection, tailored antibiotic therapy, thoughtful pre-operative planning, and multidisciplinary heart team management are the keys to optimizing patient outcomes. Aggressive and complete surgical debridement are mandatory prior to aortic root reconstruction. Surgical experience and patient-centered decision making are critical in selecting the optimal reconstructive strategy for the aortic root and adjacent structures.

Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-023-01604-6.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139825PMC
http://dx.doi.org/10.1007/s12055-023-01604-6DOI Listing

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