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Table 2 Characteristics of included patients

From: A standardized approach to treat complex aortic valve endocarditis: a case series

#

Age (yr)

sex

Previous surgery

Micro-organism

Indication for surgery

Euro SCORE

Remarks during stentless bioprosthesis implantation

Outcome

rethoracotomy

re-IE

permanent dialysis

PPM

1

66

M

2 yr. bio

Streptococcus sanguinis

aortic root abscess

38.92

pericard patch to support MV, 1 RBC

Recovery initially, but death 7.5 months post surgery

+

+

2

70

M

1 yr. bio

Staphylococcus epidermidis

aortic root abscess, mycotic aneurysm, loose prosthesis, septic emboli, AV block

65.87

aorta annulus support with pledges and transseptal stiches, CABG, 5 RBC

In-hospital death 40 days post surgery

+

3

71

M

1 yr. bio

Streptococcus agalactiae

aortic root abscess with Gerbode defect, AV block

47.06

pericard patch reconstruction aorta annulus, atriotomy, TVP and Devega plasty, 14 RBC

Recovery > 6 years post surgery

+

4

31

M

Streptococcus mitis

totally destructed LVOT with Gerbode defect, AV block

42.52

pericard patch reconstruction aorta annulus, TVP, Devega plasty, 0 RBC

Recovery > 4 years post surgery

+

5

71

M

29 yr. mech

Enterococcus faecalis

aortic root abscess, septic emboli

47.06

3 RBC

Recovery > 3 years post surgery

6

36

M

2 yr. mech

not identified

aortic root abscess, septic emboli

28.55

0 RBC

Recovery > 4 years post surgery

7

64

M

Staphylococcus aureus

aortic root abscess, multiple septic emboli, cardiac decompensation

23.42

aorta annulus support with pledges, 2 RBC

Recovery > 2 year (20 months) post surgery

+

8

72

M

3mo bio

Staphylococcus epidermidis

loose prosthesis, cardiac decompensation

64.48

closure of destructed coronary ostia, CABG, 0 RBC

In-hospital death 14 days post surgery

9

45

M

12 yr. mech

Staphylococcus aureus

aortic root abscess, mycotic aneurysm

28.55

multiple vegetations AV, pericard patch reconstruction aorta annulus, 0 RBC

Recovery initially, but death 13 months post surgery

+

+

10

60

F

4mo bio

Staphylcoccus epidermidis

progressive aortic root abscess with Gerbode defect, septic emboli, blood cultures persistantly positive, AV-block

37.28

removal of vegetation from right atrium with affected AML and PPM implantation, 4 RBC

Recovery > 2 years post surgery

+

11

55

M

Enterococcus faecalis

aortic root abscess, mycotic aneurysm, conduction disturbance

26.62

pericard patch reconstruction aorta annulus and AML, 1 RBC

Recovery > 4 years post surgery

12

42

M

Streptococcus mutans

mycotic aneurysm, large vegetation

12.79

MVP, 0 RBC

Recovery > 5 years post surgery

13

75

F

1 yr. bio

Staphylococcus epidermidis

aortic wall thickening, septic emboli, AV block

61.76

mobilization of tightly adhered coronary ostia, 2 RBC

Recovery > 8 years post surgery

+

14

77

M

2 yr. bio

Enterococcus faecalis

septal mycotic aneurysm with fistula and threatened anatomy

52.33

urgent surgery with two times reanimation setting and persistant instability for which sternum left open, 0 RBC

In-hospital death directly post surgery

15

62

M

1 yr. mech

coagulase negative Staphylococci

aortic root abscess, progressive mycotic aneurysm, aortoventricular dehiscence

68.31

4 RBC

Recovery > 11 years post surgery

16

60

M

7 yr. mech

Streptococcus bovis

aortic root abscess, mycotic aneurysm, aortoventricular dehiscence, cardiac decompensation

60.7

drainage of 1 L pleural effusion at both sides, 0 RBC

Recovery > 5 years post surgery

  1. # patient number, AML anterior mitral leaflet, AV aortic valve, AV block atrio-ventricular block, bio biological prosthetic valve inplanted, CABG coronary artery bypass grafting, EuroSCORE logarithimic I, F female, LVOT left ventricular outflow tract, M male, mech mechanical prosthetic valve inplanted, mo months, MV mitral valve, PPM placement of permanent pacemaker, RBC number of bags with red blood cells given during surgery, re-IE recurrence of endocarditis, rethoracotomy for bleeding or tamponade, TVP tricuspid valve plasty, yr. years