Surgical intervention for aortic ring abscess carries a 15% operative mortality, with worse long-term outcomes in patients requiring urgent surgery for rapidly evolving infective endocarditis.
High mortality with urgent surgery in aortic ring abscess warrants caution; case reports leave optimal timing unresolved.
From 1981 to 1985, 20 patients with aortic ring abscess underwent valve replacement or repair. In 11 causes, infective endocarditis evolved rapidly and required urgent surgery. Echocardiography and aortography enable the diagnosis of aortic ring abscess pre-operatively in most patients. The operative mortality was 15% and secondary mortality was particularly high in patients who had undergone urgent surgery.
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Danchin et al. (1987) studied this question.
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