{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:07:31Z","timestamp":1788480451946,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T00:00:00Z","timestamp":1638748800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>\u2002<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>Surgical treatment of destructive infective endocarditis consists of extensive debridement followed by root repair or replacement. However, it remains unknown whether 1 is superior to the other. We aimed to analyse whether long-term results were better after root repair or replacement in patients with root endocarditis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A total of 148 consecutive patients with root endocarditis treated with surgery from 1997 to 2020 at our department were included. Patients were divided into 2 groups: aortic root repair (n\u2009=\u200985) or root replacement using xenografts or homografts (n\u2009=\u200963).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Patients receiving aortic root repair showed significantly better long-term survival compared to patients receiving aortic root replacement (log-rank: P\u2009=\u20090.037). There was no difference in terms of freedom from valvular reoperations among both treatment groups (log-rank: P\u2009=\u20090.58). Patients with aortic root repair showed higher freedom from recurrent endocarditis compared to patients with aortic root replacement (log-rank: P\u2009=\u20090.022). Patients with aortic root repair exhibited higher event-free survival (defined as a combination end point of freedom from death, valvular reoperation or recurrent endocarditis) compared to patients receiving aortic root replacement (log-rank: P\u2009=\u20090.022). Age increased the risk of mortality with 1.7% per year. Multi-variable adjusted statistical analysis revealed improved long-term event-free survival after aortic root repair (hazards ratio: 0.57, 95% confidence interval: 0.39\u20130.95; P\u2009=\u20090.031).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Aortic root repair and replacement are feasible options for the surgical treatment of root endocarditis and are complementary methods, depending on the extent of infection. Patients with less advanced infection have a more favourable prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>UN4232 382\/3.1 (retrospective study).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivab330","type":"journal-article","created":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T07:13:18Z","timestamp":1636355598000},"page":"361-368","source":"Crossref","is-referenced-by-count":5,"title":["Impact of aortic root repair or replacement in severe destructive aortic valve endocarditis with paravalvular abscesses on long-term survival"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6584-3488","authenticated-orcid":false,"given":"Can","family":"Gollmann-Tepek\u00f6yl\u00fc","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1470-6026","authenticated-orcid":false,"given":"Hannes","family":"Abfalterer","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6552-8899","authenticated-orcid":false,"given":"Leo","family":"P\u00f6lzl","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"},{"name":"Department of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludwig","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Grimm","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6623-0595","authenticated-orcid":false,"given":"Johannes","family":"Holfeld","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7656-5812","authenticated-orcid":false,"given":"Nikolaos","family":"Bonaros","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3118-4637","authenticated-orcid":false,"given":"Katie","family":"Bates","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics, Informatics, and Health Economics, Innsbruck Medical University, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5911-1002","authenticated-orcid":false,"given":"Hanno","family":"Ulmer","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics, Informatics, and Health Economics, Innsbruck Medical University, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5836-0875","authenticated-orcid":false,"given":"Elfriede","family":"Ruttmann","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,6]]},"reference":[{"key":"2022022119390779600_ivab330-B1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/S0140-6736(11)60755-1","article-title":"Management of infective endocarditis: challenges and perspectives","volume":"379","author":"Thuny","year":"2012","journal-title":"Lancet"},{"key":"2022022119390779600_ivab330-B2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1161\/CIRCULATIONAHA.104.493155","article-title":"Risk of embolism and death in infective endocarditis: prognostic value of echocardiography: a prospective multicenter study","volume":"112","author":"Thuny","year":"2005","journal-title":"Circulation"},{"key":"2022022119390779600_ivab330-B3","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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