Aortic root abscess: reconstruction of the left ventricular outflow tract and allograft aortic valve and root replacement View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2010

AUTHORS

Charles A. Yankah , M. Pasic , Henryk Siniawski , Y. Weng , Roland Hetzer

ABSTRACT

Active infective aortic endocarditis complicated by abscess formation remains a life-threatening disease and continues to challenge cardiovascular surgeons. Sir William Osler first described endocarditis in the Gulstonian lectures at the Royal College of Physicians in 1885 as a malignant disease that is in all its forms a mycotic process. An aortic root abscess can be diagnosed very early at its onset by transthoracic and transesophageal echocardiography with a sensitivity and specificity of 98 and 100%, respectively [1–3]. If after diagnosis, during antibiotic therapy, associated complications occur, such as burrowing abscess formation and fistulous communication between the aorta and the right atrium or the right ventricle, interventricular septum, aneurysm of the sinus Valsalva, pseudoaneurysmal formation of an abscess cavity and mitral incompetence, then urgent surgical intervention is mandatory, otherwise fatal cardiovascular complications are imminent [1–5]. More... »

PAGES

243-273

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-7985-1869-8_18

DOI

http://dx.doi.org/10.1007/978-3-7985-1869-8_18

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004306182


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