The Surgical Management of Extravalvular Aortic Root Infection
Fifteen patients with extravalvular aortic root infection and associated infective endocarditis underwent urgent operation for this condition at Glasgow Royal Infirmary between 1977 and 1983. Four patients (26.7%) subsequently died between 1 and 68 months after operation. All patients underwent aort...
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| Veröffentlicht in: | The Annals of thoracic surgery 1984-06, Vol.37 (6), p.484-487 |
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| container_title | The Annals of thoracic surgery |
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| creator | Sethia, B. Reece, I.J. Forrester, A.W. Davidson, K.G. |
| description | Fifteen patients with extravalvular aortic root infection and associated infective endocarditis underwent urgent operation for this condition at Glasgow Royal Infirmary between 1977 and 1983. Four patients (26.7%) subsequently died between 1 and 68 months after operation. All patients underwent aortic valve replacement, with debridement or suture closure of abscess cavities as indicated. Three patients also required insertion of permanent pacing systems for complete heart block. Three other patients required further surgical intervention. Aortic valve rereplacement was done on two occasions in 1 patient and repair of a periprosthetic leak in the second patient; the third required one additional procedure to close an aorto-right atrial fistula postoperatively. Ten out of 11 survivors are in New York Heart Association Class I, and the remaining patient is in Class II. Aggressive surgical therapy without the need for complicated reconstructive procedures of the aortic root is effective in the management of extravalvular aortic root infections. |
| doi_str_mv | 10.1016/S0003-4975(10)61136-8 |
| format | Article |
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Four patients (26.7%) subsequently died between 1 and 68 months after operation. All patients underwent aortic valve replacement, with debridement or suture closure of abscess cavities as indicated. Three patients also required insertion of permanent pacing systems for complete heart block. Three other patients required further surgical intervention. Aortic valve rereplacement was done on two occasions in 1 patient and repair of a periprosthetic leak in the second patient; the third required one additional procedure to close an aorto-right atrial fistula postoperatively. Ten out of 11 survivors are in New York Heart Association Class I, and the remaining patient is in Class II. 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Four patients (26.7%) subsequently died between 1 and 68 months after operation. All patients underwent aortic valve replacement, with debridement or suture closure of abscess cavities as indicated. Three patients also required insertion of permanent pacing systems for complete heart block. Three other patients required further surgical intervention. Aortic valve rereplacement was done on two occasions in 1 patient and repair of a periprosthetic leak in the second patient; the third required one additional procedure to close an aorto-right atrial fistula postoperatively. Ten out of 11 survivors are in New York Heart Association Class I, and the remaining patient is in Class II. Aggressive surgical therapy without the need for complicated reconstructive procedures of the aortic root is effective in the management of extravalvular aortic root infections.</description><subject>Abscess - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Diseases - complications</subject><subject>Aortic Diseases - surgery</subject><subject>Aortic Valve - surgery</subject><subject>Bacterial diseases</subject><subject>Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels</subject><subject>Biological and medical sciences</subject><subject>Debridement</subject><subject>Endocarditis, Bacterial - complications</subject><subject>Endocarditis, Bacterial - surgery</subject><subject>Female</subject><subject>Heart Valve Prosthesis</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Streptococcal Infections - surgery</subject><subject>Suture Techniques</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAURYMoOn78BKELEV1UkyZNm40yiF-gCM64Dmn6opG20aQd9N-bmSmzdRWSe17e5SB0TPAFwYRfzjDGNGWiyM8IPueEUJ6WW2hC8jxLeZaLbTTZIHtoP4TPeM1ivIt2OS1yjvEEXc0_IJkN_t1q1STPqlPv0ELXJ84ktz-9VwvVLIZG-WTqfG918upcnzx2BnRvXXeIdoxqAhyN5wF6u7ud3zykTy_3jzfTp1SzgvQpoSYTouZC15SxMnYQGhcMeGZqBUTF9rwugRpamIoQUQGomhlRVEAjqekBOl3_--Xd9wChl60NGppGdeCGIEtCMBOliGC-BrV3IXgw8svbVvlfSbBcepMrb3IpZfm08ibLOHc8LhiqFurN1Cgq5idjrkI0ZbzqtA0bTHDKMCMRu15jEGUsLHgZtIVOQ219NCZrZ_8p8gcCRojr</recordid><startdate>198406</startdate><enddate>198406</enddate><creator>Sethia, B.</creator><creator>Reece, I.J.</creator><creator>Forrester, A.W.</creator><creator>Davidson, K.G.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198406</creationdate><title>The Surgical Management of Extravalvular Aortic Root Infection</title><author>Sethia, B. ; Reece, I.J. ; Forrester, A.W. ; Davidson, K.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-13f299d69cd34481559c074e62fdae1a6116d8e3f37fb119beead4f97be39c0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Abscess - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Diseases - complications</topic><topic>Aortic Diseases - surgery</topic><topic>Aortic Valve - surgery</topic><topic>Bacterial diseases</topic><topic>Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels</topic><topic>Biological and medical sciences</topic><topic>Debridement</topic><topic>Endocarditis, Bacterial - complications</topic><topic>Endocarditis, Bacterial - surgery</topic><topic>Female</topic><topic>Heart Valve Prosthesis</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Streptococcal Infections - surgery</topic><topic>Suture Techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sethia, B.</creatorcontrib><creatorcontrib>Reece, I.J.</creatorcontrib><creatorcontrib>Forrester, A.W.</creatorcontrib><creatorcontrib>Davidson, K.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sethia, B.</au><au>Reece, I.J.</au><au>Forrester, A.W.</au><au>Davidson, K.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Surgical Management of Extravalvular Aortic Root Infection</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1984-06</date><risdate>1984</risdate><volume>37</volume><issue>6</issue><spage>484</spage><epage>487</epage><pages>484-487</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Fifteen patients with extravalvular aortic root infection and associated infective endocarditis underwent urgent operation for this condition at Glasgow Royal Infirmary between 1977 and 1983. Four patients (26.7%) subsequently died between 1 and 68 months after operation. All patients underwent aortic valve replacement, with debridement or suture closure of abscess cavities as indicated. Three patients also required insertion of permanent pacing systems for complete heart block. Three other patients required further surgical intervention. Aortic valve rereplacement was done on two occasions in 1 patient and repair of a periprosthetic leak in the second patient; the third required one additional procedure to close an aorto-right atrial fistula postoperatively. Ten out of 11 survivors are in New York Heart Association Class I, and the remaining patient is in Class II. 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| ispartof | The Annals of thoracic surgery, 1984-06, Vol.37 (6), p.484-487 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Abscess - surgery Adolescent Adult Aged Aorta, Thoracic - surgery Aortic Diseases - complications Aortic Diseases - surgery Aortic Valve - surgery Bacterial diseases Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels Biological and medical sciences Debridement Endocarditis, Bacterial - complications Endocarditis, Bacterial - surgery Female Heart Valve Prosthesis Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Streptococcal Infections - surgery Suture Techniques |
| title | The Surgical Management of Extravalvular Aortic Root Infection |
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