Surgical treatment of aortic periannular abscess in 162 patients

Lanxin YE; Fanyu Chen; Oudi Chen; Lixi Gan; Hongkun Qing; Weiteng Wang; Xuhua Jian

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Surgical treatment of aortic periannular abscess in 162 patients

VernacularTitle:主动脉瓣瓣周脓肿外科治疗162例
Author: Lanxin YE ¹ ; Fanyu CHEN ; Oudi CHEN ; Lixi GAN ; Hongkun QING ; Weiteng WANG ; Xuhua JIAN
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1. 广东省心血管病研究所　南方医科大学附属广东省人民医院　广东省医学科学院，广州　510010
Keywords: Aortic periannular abscess; Infective endocarditis; Surgery treatment
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2024;40(9):536-541
CountryChina
Language:Chinese
Abstract: Objective:To report the surgical experience and long-term survival in patients with infective endocarditis associated with aortic periannular abscess.Methods:We retrospectively analyzed collected data on all 162 patients who underwent surgical treatment between December 2010 and May 2023 in our hospital.Results:128 were male(79.0%). Patients' mean age was(47.9±15.1) years. The infected valve was prosthetic in 11 patients(6.8%). All patients underwent aortic valve replacement(100%) and 22 patients(13.5%) received aortic root replacement. Operative mortality was 6.8% (n=11)(prosthetic valve endocarditis vs native valve endocarditis, 18.2% vs. 6.0%, P=0.17). Postoperative mean follow-up was (34.00±2.19) months. 1 patient(1.2%) died during follow-up. Endocarditis recurred in 3 patients(1.8%) at a mean of (2.1±0.6) years. Survival at 3 years and 5 years were 90.0% and 86.9%, respectively. Conclusion:Infective endocarditis with a secondary aortic root abscess can lead to necrosis of the valve's surrounding tissues. Positive surgical intervention can improve the patient's prognosis and survival.