Key result
Valve-sparing aortic vegetectomy maintains valve competence without recurrent infection at 19 months.
Why the study?
An alternative to valve replacement for early aortic infective endocarditis was needed to preserve valve function in selected patients.
Case Report (n=1)
No
We describe a case of successful vegetectomy of the aortic valves for early infective endocarditis. An aortic vegetectomy was performed as an alternative to valve replacement for a 54-year-old man with three vegetations and mild regurgitation in aortic valve due to infective endocarditis. Postoperative clinical course was without signs of recurrent infection after follow-up of 19 months, and transesophageal echocardiography demonstrated aortic valve competence. We would suggest that vegetectomy with valve sparing may be a viable option in the context of early infective endocarditis involved aortic valve in selected patients.
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Chen et al. (2009) conducted a case report in Aortic infective endocarditis (n=1). Aortic vegetectomy was evaluated on Recurrent infection and aortic valve competence. Aortic vegetectomy with valve sparing was successfully performed, with the patient showing no signs of recurrent infection and preserved aortic valve competence at 19 months follow-up.
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