{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:28:41Z","timestamp":1792193321497,"version":"4.4.0"},"reference-count":20,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>Aortic root abscess is the most severe sequela of infective endocarditis, and its surgical management is a complicated procedure because of the high risk of morbidity and death.<\/jats:p>\n                  <jats:p>Twenty-seven patients were included in this 15-year retrospective study: 21 (77.8%) with native- and 6 (22.2%) with prosthetic-valve endocarditis. The surgical reconstruction of the aortic root consisted of aortic valve replacement in 19 patients (70.4%) with (11) or without (8) a pericardial patch, or total aortic root replacement in 7 patients (25.9%); 5 of the 27 (18.5%) underwent the modified Bentall procedure with the flanged conduit. Only one patient (3.7%) underwent subaortic pericardial patch reconstruction without valve replacement. A total of 7 patients (25.9%) underwent reoperation: 6 with prior valve surgery, and 1 with prior isolated sinus of Valsalva repair. The mean follow-up period was 6.8 \u00b1 3.7 years.<\/jats:p>\n                  <jats:p>There were 6 (22.2%) in-hospital deaths, 3 (11.1%) of which were perioperative, among patients who underwent emergent surgery. Five patients (23.8%) died during follow-up, and the overall survival rates at 1, 5, and 10 years were 70.3% \u00b1 5.8%, 62.9% \u00b1 6.4%, and 59.2% \u00b1 7.2%, respectively. Two of 21 patients (9.5%) underwent reoperation because of paravalvular leakage and early recurrence of infection during follow-up.<\/jats:p>\n                  <jats:p>After complete resection of the perianular abscess, replacement of the aortic root can be implemented for reconstruction of the aortic root, with or without left ventricular outflow tract injuries. Replacing the aortic root with a flanged composite graft might provide the best anatomic fit.<\/jats:p>","DOI":"10.14503\/thij-14-4747","type":"journal-article","created":{"date-parts":[[2016,2,3]],"date-time":"2016-02-03T12:32:13Z","timestamp":1454502733000},"page":"20-28","source":"Crossref","is-referenced-by-count":43,"title":["Surgery for Aortic Root Abscess: A 15-Year Experience"],"prefix":"10.14503","volume":"43","author":[{"given":"Kaan","family":"Kirali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabit","family":"Sarikaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yucel","family":"Ozen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Sacli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eylul","family":"Basaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozge Altas","family":"Yerlikhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebuzer","family":"Aydin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat Bulent","family":"Rabus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"7","key":"i0730-2347-43-1-20-b1","series-title":"Am J Cardiol","first-page":"976","article-title":"Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database","volume":"96","year":"2005","unstructured":"Anguera\n              I, \n            \n              Miro\n              JM, \n            \n              Cabell\n              CH, \n            \n              Abrutyn\n              E, \n            \n              Fowler\n              VG\n              Jr, \n            \n              Hoen\n              B, \n          \n          et al. 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J Heart Valve Dis2013;22(1):126\u201332."},{"issue":"2","key":"i0730-2347-43-1-20-b10","series-title":"J Thorac Cardiovasc Surg","first-page":"332","article-title":"Surgical management of aortic root abscess: a 13-year experience in 172 patients with 100% follow-up","volume":"143","year":"2012","unstructured":"Leontyev\n              S, \n            \n              Borger\n              MA, \n            \n              Modi\n              P, \n            \n              Lehmann\n              S, \n            \n              Seeburger\n              J, \n            \n              Doenst\n              T, \n            \n              Mohr\n              FW.\n            \n          \n          Surgical management of aortic root abscess: a 13-year experience in 172 patients with 100% follow-up. 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