{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:35:33Z","timestamp":1774355733092,"version":"3.50.1"},"reference-count":22,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Heart"],"accepted":{"date-parts":[[1998,9,7]]},"published-print":{"date-parts":[[1999,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the long term prognostic significance of aortic valve ring abscess in patients with aortic endocarditis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients<\/jats:title>\n                  <jats:p>A consecutive series of 75 patients who had surgery for aortic infective endocarditis between 1981 and 1989; 35 had aortic ring abscesses (group 1) and 40 did not (group 2). Mean age did not differ between the two groups. Prosthetic valve endocarditis was present in 17% of group 1 and 5% of group 2. Pneumococcal or \u03b2 haemolytic streptococcal endocarditis was more common in patients with native valve endocarditis who had aortic ring abscesses (20% <jats:italic>v <\/jats:italic>5%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Cohort analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In-hospital mortality (11.4%<jats:italic> v<\/jats:italic> 7.5%) and 10 year survival (56% <jats:italic>v<\/jats:italic> 66%) were not significantly different between groups 1 and 2. In patients with native valve endocarditis, 10 year survival was 62% and 66%, respectively for patients with or without ring abscess, and 10 year reintervention-free survival was 38% <jats:italic>v<\/jats:italic> 58% (p\u2009=\u20090.11). In these patients, the presence of an intercurrent illness, severe congestive heart failure before surgery, and use of valved conduits for surgical treatment were predictors of poorer long term survival. At follow up residual aortic regurgitation was documented in 72% of patients in group 1 and 26% in group 2 (p\u2009&lt;\u20090.01).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Aortic valve ring abscess is not an independent marker of poor long term outcome in patients with infective endocarditis. However, as residual aortic regurgitation appears frequent at follow up, specific surgical techniques should be considered in patients with paravalvar abscesses.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/hrt.81.2.177","type":"journal-article","created":{"date-parts":[[2014,10,22]],"date-time":"2014-10-22T15:31:45Z","timestamp":1413991905000},"page":"177-181","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Comparison of long term outcome in patients with or without aortic ring abscess treated surgically for aortic valve infective endocarditis"],"prefix":"10.1136","volume":"81","author":[{"given":"N","family":"Danchin","sequence":"first","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Retournay","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"Stchepinsky","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Selton-Suty","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Voiriot","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Hoen","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Canton","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J-P","family":"Villemot","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Mathieu","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Cherrier","sequence":"additional","affiliation":[{"name":"aService de Cardiologie, CHU Nancy-Brabois, 54500 Vandoeuvre-l\u00e8s-Nancy, France, \n\nbD\u00e9partement des Maladies Infectieuses, CHU Nancy-Brabois, \n\ncService de Chirurgie Cardiaque, CHU Nancy-Brabois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1999,2,1]]},"reference":[{"key":"2025092100442359000_81.2.177.1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.54.1.140"},{"key":"2025092100442359000_81.2.177.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(82)90261-2"},{"key":"2025092100442359000_81.2.177.3","doi-asserted-by":"crossref","unstructured":"Neimann JL, Danchin N, Godenier JP, et al. Two-dimensional echocardiographic recognition of aortic valve ring abscess. Eur Heart J1984;5(suppl C):59\u201365.","DOI":"10.1093\/eurheartj\/5.suppl_C.59"},{"key":"2025092100442359000_81.2.177.4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.104.1.88"},{"key":"2025092100442359000_81.2.177.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199103213241203"},{"key":"2025092100442359000_81.2.177.6","doi-asserted-by":"crossref","unstructured":"Rohmann S, Erbel R, Mohr-Kahaly S, et al. Use of transoesophageal echocardiography in the diagnosis of abscess in infective endocarditis. Eur Heart J 1995;16(suppl B):54\u201362.","DOI":"10.1093\/eurheartj\/16.suppl_B.54"},{"key":"2025092100442359000_81.2.177.7","unstructured":"Michel PL Vitoux B Hage A (1991) Early or delayed surgery in acute native aortic valve endocarditis. in Current issues in heart valve disease. Infective endocarditis. eds Hortskotte D Bodnar E (ICR Publishers, London), pp 220\u2013228."},{"key":"2025092100442359000_81.2.177.8","doi-asserted-by":"publisher","DOI":"10.1016\/0967-2109(96)82850-X"},{"key":"2025092100442359000_81.2.177.9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(94)90143-0"},{"key":"2025092100442359000_81.2.177.10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.107.4.898"},{"key":"2025092100442359000_81.2.177.11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(86)90479-5"},{"key":"2025092100442359000_81.2.177.12","first-page":"321","article-title":"Les abc\u00e8s para-annulaires; \u00e0 propos de 59 cas. Etude multicentrique.","volume":"88","author":"Lesbre","year":"1995","journal-title":"Arch Mal C\u0153ur"},{"key":"2025092100442359000_81.2.177.13","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1093\/oxfordjournals.eurheartj.a059875","article-title":"Aortic root complications of infective endocarditis. Influence on surgical outcome.","volume":"12","author":"John","year":"1991","journal-title":"Eur Heart J"},{"key":"2025092100442359000_81.2.177.14","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90851-Y"},{"key":"2025092100442359000_81.2.177.15","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1016\/S0022-5223(19)33785-7","article-title":"Prosthetic valve endocarditis with ring abscesses. Surgical management and long-term results.","volume":"105","author":"Jault","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025092100442359000_81.2.177.16","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3109\/14017439009098053","article-title":"Risk factors for early and late outcome after surgical treatment of native valve endocarditis.","volume":"24","author":"Kimose","year":"1990","journal-title":"Scand J Thorac Cardiovasc Surg"},{"key":"2025092100442359000_81.2.177.17","unstructured":"Aranki SF, Santini F, Adams DH, et al. Aortic valve endocarditis. Determinants of early survival and late morbidity. Circulation1994;90(suppl II): II-175\u201382."},{"key":"2025092100442359000_81.2.177.18","doi-asserted-by":"crossref","unstructured":"Delahaye F, Ecochard R, De Gevigney G, et al. The long term prognosis of infective endocarditis.Eur Heart J1995;16(suppl B):48\u201353.","DOI":"10.1093\/eurheartj\/16.suppl_B.48"},{"key":"2025092100442359000_81.2.177.19","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00274-3"},{"key":"2025092100442359000_81.2.177.20","doi-asserted-by":"publisher","DOI":"10.4065\/70.6.517"},{"key":"2025092100442359000_81.2.177.21","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1177\/096721099400200214","article-title":"Prosthetic valve endocarditis: surgical procedures and clinical outcome.","volume":"2","author":"Otaki","year":"1994","journal-title":"Cardiovasc Surg"},{"key":"2025092100442359000_81.2.177.22","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70417-8"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.81.2.177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T07:44:35Z","timestamp":1758440675000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.81.2.177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,2,1]]},"references-count":22,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1999,2,1]]},"published-print":{"date-parts":[[1999,2,1]]}},"alternative-id":["10.1136\/hrt.81.2.177"],"URL":"https:\/\/doi.org\/10.1136\/hrt.81.2.177","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,2,1]]}}}