{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:56:25Z","timestamp":1771012585322,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The aim of this study was to evaluate the surgical outcome of patients suffering from native aortic valve (NVE) or prosthetic aortic valve endocarditis (PVE) treated with the EDWARDS INTUITY Elite rapid-deployment valve prosthesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between February 2019 and June 2020, 25 patients suffering from NVE (n\u2009=\u20099; 36%) and PVE (n\u2009=\u200916; 64%) of the aortic valve received an INTUITY valve at our institution. Preoperative, operative and follow-up data were collected.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>In our cohort, the mean EuroSCORE II was 13.4%. Eleven patients (44%) received concomitant aortic root patch plasty. Four patients (16%) received coronary artery bypass graft surgery, 3 patients (12%) received mitral valve repair and 2 patients (8%) underwent replacement of the ascending aorta. The cardiopulmonary bypass and aortic cross-clamp times were 124\u2009\u00b1\u200956 and 75\u2009\u00b1\u200939 min, respectively. The mean intensive care unit stay was 5\u2009days. The mean size of the implanted prostheses was 25\u2009\u00b1\u20092\u2009mm and the mean prosthesis transvalvular gradient 3\u2009months after surgery was 9\u2009\u00b1\u20094\u2009mmHg. During follow-up, no case of recurrent endocarditis occurred, 1 patient died of multisystem organ failure which had already been present preoperatively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Surgery for NVE and PVE of the aortic valve may be safely performed using the EDWARDS INTUITY Elite valve system. This procedure could be well implemented in cases with extensive infection, fragile root tissue and root abscesses requiring root reconstruction. In our institution, the rapid-deployment aortic valve replacement strategy has become an important tool in the armamentarium of the surgical endocarditis treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac018","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T20:10:25Z","timestamp":1642018225000},"page":"1109-1115","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of a rapid deployment prosthesis strategy for the treatment of aortic valve endocarditis"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6686-1434","authenticated-orcid":false,"given":"Sergey","family":"Belyaev","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian Ernst Martin","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexey","family":"Dashkevich","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Wenke","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Polyxeni","family":"Vlachea","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"von der Linden","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-1615","authenticated-orcid":false,"given":"Ramin","family":"Banafsche","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Hagl","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner site Munich Heart Alliance, University Hospital, LMU Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Juchem","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Ludwig Maximilian University, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"2022050515422036000_ezac018-B1","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.cpcardiol.2005.12.001","article-title":"Update on infective endocarditis","volume":"31","author":"Bashore","year":"2006","journal-title":"Curr Probl Cardiol"},{"key":"2022050515422036000_ezac018-B2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jtcvs.2010.10.064","article-title":"Surgical management of aortic root abscess: a 13-year experience in 172 patients with 100% follow-up","volume":"143","author":"Leontyev","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022050515422036000_ezac018-B3","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1016\/j.athoracsur.2007.06.050","article-title":"Surgical treatment of active aortic endocarditis: homografts are not the cornerstone of outcome","volume":"84","author":"Avierinos","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2022050515422036000_ezac018-B4","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC). 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