Cirurgia da endocardite em valva aórtica: opção para tratamento de abscesso aórtico

Abstract

SummaryBackground: Patients with infective endocarditis show a large diversity of anatomical presentations, which has been a complicating factor for the surgical treatment of this condition, especially in those who develop abscesses in the aortic ring or intracardiac fistulae. For this reason, surgeons have been developing tactical options to repair it. There is consensus around the fact that the removal of infected tissue promotes radical cleaning, and that the outcome of the treatment has been improved by the manufacture of biological glues which facilitate the closure of abscesses and by the creation of new valve replacements.

Troca valvar aórtica com diferentes próteses: existem diferenças nos resultados da fase hospitalar?

“…We emphasize the high morbidity and mortality, with survival that may be less than 50% in aortic valve replacements in the presence of infected endocarditis associated with acute aortic insufficiency, acute renal failure and congestive heart failure [19]. This combination can be seen in severe cases of aortic ring abscesses, which are generally difficult to treat, which led researchers [20] to search for new techniques to enhance and improve surgical outcomes.…”