Editorial
Aortic root abscess
| The first 150 words of the full text of this article appear below. |
Infective
endocarditis affecting the aortic valve may be complicated by an
abscess cavity in the aortic root,1-3 and this is more
frequent and serious in prosthetic than native valve
infections.4 5 Successful management of this condition,
which has high morbidity and mortality, invariably requires surgical
repair, and depends on early diagnosis, clear preoperative anatomical
definition, and maintaining the sterility of the second implant.
Homograft valves offer many advantages: they are resistant to
infection,1 6 7 prosthetic material is not involved, and
the abscess cavities can be excluded from the
circulation.7-9 There are further potential advantages
from the use of homografts in children. Experience with aortic root
abscess in infants and children is very limited; Chaturvedi and
colleagues describe their experience with five cases collected over 10 years at a supraregional referral centre, a testimony to the rarity of
the condition in paediatric practice.10 We have little
experience of this condition in children, and this
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