Reconstruction and Replacement of the Aortic Root in Destructive Endocarditis

Hassiba Smail, Pankaj Saxena, Adam D. Zimmet, David C. McGiffin

Research output: Contribution to journalArticleOtherpeer-review

2 Citations (Scopus)


Surgical treatment of endocarditis causing destruction of the aortic root is challenging, requiring surgical expertise and a repertoire of techniques. The major goals of surgery are to achieve drainage of abscess cavities, radical annular debridement and aortic valve replacement without abnormal mechanical stress on the suture line. This approach can help avoid some major complications that may occur postoperatively: recurrence or persistence of infection and prosthetic valve dehiscence. A number of procedures are available to manage a wide spectrum of pathology that may be encountered. We have outlined a number of surgical techniques that can be used for aortic root reconstruction in the setting of extensive destruction.

Original languageEnglish
Pages (from-to)336-354
Number of pages19
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
Issue number4
Publication statusPublished - 2016
Externally publishedYes


  • Abscess
  • Aortic valve endocarditis
  • Left ventricular-aortic discontinuity
  • Surgical reconstruction

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