Key result
Radical debridement and complex patch reconstruction of the intervalvular fibrosa are often required for the surgical management of infective endocarditis of the aortic root.
This commentary highlights the necessity of radical debridement and complex patch reconstruction in the surgical management of multivalve infective endocarditis.
Surgery for infective endocarditis of the aortic root and surrounding structures remains a condition associated with high mortality. Even in the hands of experienced surgeons, the radical debridement required to completely excise infected tissue oftentimes leaves one with the need for complex patch reconstruction of the intervalvular fibrosa.1 Autologous pericardium or bovine pericardial patches are commonly used to re-establish the aortic, mitral, or tricuspid annulus before proceeding with either valve repair or replacement.
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Girardi et al. (2021) conducted an editorial in Multivalve infective endocarditis. Radical debridement and complex reconstruction was evaluated. Radical debridement and complex patch reconstruction of the intervalvular fibrosa are often required for the surgical management of infective endocarditis of the aortic root.
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