Patient | Age (years) | Presentation | Organism | Structures affected | Interval to surgery after ARA diagnosis (days) | Homograft size (mm) | Outcome (follow up) |
---|---|---|---|---|---|---|---|
1 | 0.6 | Fulminant hepatic failure | S pneumoniae | Aortic, mitral, tricuspid valves + fistulae to RA, LA, RV | 0 | 11 | Died at operation |
2 | 1.2 | Septicaemia | S aureus | Aortic valve | 4 | 12 | Aortic gradient 38 mm Hg, no AR, NYHA I (7 years) |
31-150 | 2.3 | Septicaemia + ARDS | S pneumoniae | Aortic, mitral valves | 1 | 131-151 | Mitral valve replacement (0.33 years), NYHA I (1.5 years) |
4 | 3 | Hemiplegia | S aureus | Aortic valve | 5 | 13 | Pulmonary autograft (8.3 years), NYHA I (9 years) |
51-150 | 13 | Septicaemia | S aureus | Aortic, mitral valves | 1 | 211-151 | Aortic gradient 20 mm Hg, no AR, NYHA I (7 years) |
↵1-150 Pre-existing congenital heart disease.
↵1-151 Mitral valve debridement (and repair in patient 3).
ARA, aortic root abscess; ARDS, adult respiratory distress syndrome; AR, aortic regurgitation; LA, left atrium; NYHA, New York Heart Association functional class; RA, right atrium; RV, right ventricle.