Anatomical definition of aortic root abscesses by transesophageal echocardiography: Planning a surgical strategy using homograft valves
Open accessAbstract
Infective endocarditis of the native or a prosthetic aortic valve may be complicated by abscess cavity development in the aortic root, and successful treatment depends upon early diagnosis, clear anatomical definition preoperatively, and maintaining sterility of the second implant. Homograft valves offer many advantages in this setting. Timing of surgery and the choice of the particular technique depends on accurate characterization of the anatomical details of the abscess. Five cases of paravalvular aortic root abscess in the setting of prosthetic valve endocarditis are described. In each case the diagnosis was made with transesophageal echocardiography, and the information was used in planning the operative procedure of homograft valve replacement. This strategy is proposed as optimal management of this potentially lethal condition.
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References 37 · Cited by 16
Research works printed but not linked: 1
- [6]6. Kirklin JW, Barratt-Boyes BG: Aortic valve disease. In Cardiac Surgen (Eds. Kirklin JW, Barratt-Boyes BG). Wiley, New York ( 1986) 373429
- Authors
- Brecker, S. J. D., Jin, X. Y., & Yacoub, M. H.
- Affiliations
- Royal Brompton Hospital (GB)
- Corresponding author
- Brecker, Stephen J. D.
- Venue
- Clinical Cardiology
- Publisher
- Wiley
- Published
- 1995-06
- Volume
- 18
- Issue
- 6
- Pages
- 353-359
- ISSN
- 0160-9289 (ISSN-L)
- 1932-8737
- OpenAlex
- W2011495405
- Cited by
- 16
- References
- 37
- Citations by year
- 2022: 1 · 2021: 1 · 2020: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Health Sciences › Medicine › Surgery › Infectious Aortic and Vascular Conditions
- Keywords
- aortic root abscess, paravalvular abscess, prosthetic valve endocarditis, infective endocarditis, transesophageal echocardiography, surgical planning, aortic root anatomy, timing of surgery
- MeSH terms
- Abscess, Adult, Aged, Aortic Valve, Endocarditis, Bacterial, Female, Heart Valve Prosthesis, Humans, Male, Middle Aged, Sensitivity and Specificity, Prosthesis-Related Infections, Treatment Outcome, Echocardiography, Transesophageal
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