Aortic valve endocarditis in patients with bicuspid and tricuspid aortic valves
Tan Le, Nathan J. Graham, Aroma Naeem, Jeffrey Clemence, Juan J. Cáceres, Xiaoting Wu, Himanshu J. Patel, Karen M. Kim, G. Michael Deeb, Bo Yang
Abstract
Objective: To determine the long-term survival and rate of reoperation after surgical treatment of infective endocarditis (IE) in patients with a bicuspid aortic valve (BAV) and patients with a tricuspid aortic valve (TAV). Methods: Between 1997 and 2017, 210 patients underwent surgical treatment for native aortic valve endocarditis, including 51 patients with BAV (24%) and 159 patients with TAV (76%). Data were obtained from the Society of Thoracic Surgeons data warehouse and hospital medical record review, supplemented with surveys and national death index data for more complete follow-up. Results: = .11) for BAV. Conclusions: BAV patients develop IE requiring surgery at a younger age than TAV patients, but have significantly better long-term survival. Early detection of BAV is important to prevent IE and provide aggressive surgical treatment should IE occur.