Learning From Controversy: Contemporary Surgical Management of Aortic Valve Endocarditis.
Aortic valve replacement is the commonest cardiac surgical operation performed worldwide for infective endocarditis (IE). Long-term durability and avoidance of infection relapse are goals of the procedure. However, no detailed guidelines on prosthesis selection and surgical strategies guided by the...
| Publicado en: | Clinical Medicine Insights: Cardiology Vol. 14; pp. 1 - 18 |
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| Autores principales: | , , |
| Formato: | diagnostic images research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
9/28/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146205074&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146205074 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795468 B3KL jtl: Clinical Medicine Insights: Cardiology issn: 11795468 maglogo: Y pubinfo: dt: 9/28/2020 vid: 14 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 146205074 146205074 146205074 10.1177/1179546820960729 146205074 ppf: 1 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Learning From Controversy: Contemporary Surgical Management of Aortic Valve Endocarditis. aug: au: Nappi, Francesco Avtaar Singh, Sanjeet Singh Timofeeva, Irina affil: Department of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France sug: subj: Endocarditis Aortic Valve Diseases Surgery Human Surgeons Systematic Review Treatment Outcomes Xenografts ab: Aortic valve replacement is the commonest cardiac surgical operation performed worldwide for infective endocarditis (IE). Long-term durability and avoidance of infection relapse are goals of the procedure. However, no detailed guidelines on prosthesis selection and surgical strategies guided by the comprehensive evaluation of the extension of the infection and its microbiological characteristics, clinical profile of the patient, and risk of infection recurrence are currently available. Conventional mechanical or stented xenografts are the preferred choice for localized aortic infection. However, in cases of complex IE with the involvement of the root or the aortomitral continuity, the use of homograft is suggested according to the surgeon and center experience. Homograft use should be counterbalanced against the risk of structural degeneration. Prosthetic bioroot or prosthetic valved conduit (mechanical and bioprosthetic) are also potentially suitable alternatives. Further development of preservation techniques enabling longer durability of allogenic substitutes is required. We evaluate the current evidence for the use of valve substitutes in aortic valve endocarditis and propose an evidence-based algorithm to guide the choice of therapy. We performed a systemic review to clarify the contemporary surgical management of aortic valve endocarditis. pubtype: Academic Journal doctype: diagnostic images research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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