Active aortic endocarditis in young adults: long-term results of the Ross procedure

ConclusionsIn experienced centers, Ross procedure is a reliable alternative to prosthetic or homograft valve replacement in young adults suffering from active aortic valve endocarditis, with a low operative risk and good long-term results.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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CONCLUSIONS: In experienced centers, Ross procedure is a reliable alternative to prosthetic or homograft valve replacement in young adults suffering from active aortic valve endocarditis, with a low operative risk and good long-term results. PMID: 32084372 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Abstract Background and Objectives: Infective endocarditis in the pulmonary position is a rare disease. Isolated pulmonary valve endocarditis is extremely rare. The aim of our study was to assess patients who were treated surgically for pulmonary endocarditis at our institution from January 2003 to December 2017. Materials and Methods: We analyze eight cases of infectious endocarditis in pulmonary position out of 293 patients who were operated for infective endocarditis (2.7%, 8/293). Only two of these eight patients were not related to congenital heart malformation. They were followed for early and late mortality...
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
We thank Crestanello1 for the precise analysis of our report. As rightfully stated, the results published on the long-term follow-up of cryopreserved allograft (CA) for aortic valve replacement drop a veil of uncertainty on the durability of allogenic tissue in the second  decade after implantation, considering the increased rate of reoperation for structural valve degeneration and its associated risk. We agree that the use of CA should be tailored to certain categories of patients and indeed in our study the main indication for allograft implantation was infective endocarditis (IE).
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult: Aorta Valve: Letter to the Editor Source Type: research
In an article recently published in the Journal, Nappi and colleagues1 discussed their experience of the long-term outcomes of cryopreserved allograft for aortic valve replacement, with particular emphasis in young patients with infective endocarditis. Nappi and colleagues1 then came to the conclusion that “the cryopreserved allograft is a valid option especially in complex infective endocarditis and in women of child-bearing age.”
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Letter to the Editor Source Type: research
ConclusionsThe findings suggest that mechanical root replacement combined with a low post-operative C-reactive protein level maintained through adjunctive immunomodulation therapy may lead to optimal surgical outcomes in Behcet’s disease associated with severe aortic regurgitation.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
CONCLUSIONS: The findings suggest that mechanical root replacement combined with a low post-operative C-reactive protein level maintained through adjunctive immunomodulation therapy may lead to optimal surgical outcomes in Behcet's disease associated with severe aortic regurgitation. PMID: 30315793 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
We thank Dr Bando1 for his valuable comments and we share his view regarding the construction of an infrastructure for randomized controlled trials and a registry of endocarditis. The scarcity of data emerging from the few available randomized trials significantly restricts our ability to draw conclusions on the most appropriate treatment of complex endocarditis or define a line of demarcation between allogenic tissue and mechanical or xenograft prostheses. The benefit of early surgery over medical treatment remains established,2 and a randomized study revealed better long-term survival and lack of thromboembolic complicat...
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Acquired: Aortic valve: Letter to the editor Source Type: research
In this issue of the Journal, Nappi and Spadaccio1 have once again addressed their concern about the use of conventional prostheses for active infective endocarditis (IE) associated with substantial annular and periannular destruction. On the basis of their extensive experience with allografts, they strongly argue for the merits of allografts, which include their relative resistance to infection and the ease with which they can be applied to severely infected aortic roots.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Acquired: Aortic valve: Letter to the editor Source Type: research
We read with interest several recent articles in the Journal regarding the most appropriate prosthesis for aortic valve infective endocarditis (IE).1-3As a group among those with the largest experience in treating IE, we still strongly believe that allografts have an important place in treating extensive and destructive aortic valve IE.4 Many recent reports claim that allografts are inferior to replacement alternatives, primarily citing high mortality as an argument against their use. These investigators almost invariably have used allografts in the most severe cases, however, precluding direct comparison of outcomes with ...
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Acquired: Aortic valve: Letter to the editor Source Type: research
Publication date: Available online 4 February 2017 Source:Cor et Vasa Author(s): Jan Vojáček, Ismail El-Hamamsy, Jiří Ondrášek, Pavel Žáček, Petr Fila, Martin Voborník, Jaroslav Špatenka The Ross procedure represents a unique surgical concept of unrepairable diseased aortic valve replacement by patient's own pulmonary valve (pulmonary autograft). After pulmonary valve removal, the right ventricle outflow tract is reconstructed by pulmonary allograft transplantation. Pulmonary valve in aortic position (pulmonary autograft) displays excellent haemodynamic features, viabil...
Source: Cor et Vasa - Category: Cardiology Source Type: research
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