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Ann Thorac Surg 2003;75:808
© 2003 The Society of Thoracic Surgeons

Invited commentary

Patrick M. McCarthy, MD

Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation, Kaufman Center for Heart Failure, 9500 Euclid Ave, Desk F-25, Cleveland, OH 44195, USA

e-mail: mccartp@ccf.org

The first 20% of the full text of this article appears below.

Three principles are important for successful aortic root surgery in patients with endocarditis complicated by abscess formation. First, the surgeon must aggressively and extensively debride all infected tissue. Second, defects may need to be reconstructed, sometimes including pericardial patch closure of fistulas or holes into other cardiac chambers. Finally, aortic valve (and root) replacement with the least amount of foreign body possible (ideally no foreign body) should be performed. Previous reports described the use of . . . [Full Text of this Article]






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