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Contemporary surgical management of infective endocarditis of the aortic root

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Infective endocarditis involving the aortic root is associated with a high degree of morbidity and mortality. Native aortic root infections can develop from aggressive organisms or from delays in diagnosis or definitive care, whereas prosthetic valve infections commonly result in extensive destruction of the aortic root and neighboring structures. Early detection, tailored antibiotic therapy, thoughtful pre-operative planning, and multidisciplinary heart team management are the keys to optimizing patient outcomes. Aggressive and complete surgical debridement are mandatory prior to aortic root reconstruction. Surgical experience and patient-centered decision making are critical in selecting the optimal reconstructive strategy for the aortic root and adjacent structures.

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Authors and Affiliations

  1. Division of Cardiac Surgery, Western University, B6-106 University Hospital, LHSC, 339 Windermere Road, London, ON, N6A 5A5, Canada

    Muhanad S. Algadheeb, Mohsyn I. Malik, Santiago Besa-Bandeira, Matthew Valdis & Michael W. A. Chu

  2. Division of Critical Care Medicine, Western University, London, Canada

    Muhanad S. Algadheeb

  3. Division of Cardiology, Western University, London, Canada

    Niko Tzemos & Rodrigo Bagur

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  1. Muhanad S. Algadheeb
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Correspondence to Michael W. A. Chu.

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Conflicts of interest

MWC has received Speakers’ honoraria from Medtronic, Edwards Lifesciences, Terumo Aortic and Artivion. The other authors have no relevant financial or non-financial interests to disclose.

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Muhanad Algadheeb, MBBS and Mohsyn Malik, MD are co-first authors.

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Algadheeb, M.S., Malik, M.I., Besa-Bandeira, S. et al. Contemporary surgical management of infective endocarditis of the aortic root. Indian J Thorac Cardiovasc Surg 40 (Suppl 1), 83–92 (2024). https://doi.org/10.1007/s12055-023-01604-6

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  • DOI: https://doi.org/10.1007/s12055-023-01604-6

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