MANAGEMENT OF AORTIC ROOT ABSCESS DUE TO VALVE ENDOCARDITIS: A FORMIDABLE SURGICAL CHALLENGE

Author:

Radhakrishnan Pradeep Kumar1,Ambat Gayathri Ananyajyothi2,Nazer Nihas3,Nazer Y A4

Affiliation:

1. MS, MCh (AIIMS), Post-doctoral fellow (SCTIMST),Prof and Chief Division of Cardiothoracic and Vascular Surgery, GIMSR, GITAM, Gayathri.

2. MBBS student, GIMSR GITAM.

3. Jr Consultant Cardiac Surgery, Travancore Medical College and Hospital.

4. MS, MCh (AIIMS),Director, Travancore Medical College, SUT Royal and PRS, Burjeel ( UAE).

Abstract

Aortic root abscess results when uncontrolled infective endocarditis causes aneurysm of one of the sinuses of Valsalva that is in free communication with the aortic root above the valve cusps. The risk factors for aortic root abscess in endocarditis are bicuspid aortic valve, aortic valve regurgitation, degenerative aortic stenosis and patients with multi valvular disease. In general terms, prognosis is better if surgery is undertaken early, before cardiac tissue destruction and deterioration in the overall condition of the patient increase the hazards of intervention.

Publisher

World Wide Journals

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