BACKGROUND: Despite progress in diagnostic methods and treatment, aortic @entity340 ( @entity340 ) remains a life-threatening disease. We report the outcome of all operations for aortic @entity340 performed at our institution over the past 20 years. METHODS: Eighty-seven operations performed in 84  @entity1 between 1993 and 2013 were included in this retrospective study. An aortic homograft was used in 56  (64%) cases, a mechanical prosthesis was used in 20  (23%) cases, and a bioprosthesis was used in 11 (13%) cases. Early and late @entity532 and mortality were compared between the first and second decades of our experience. Predictors of mortality were identified with  Cox regression. Mean follow-up was 5.5 years (range 0-17  years). RESULTS: Nine @entity1 (10%) died within 30 days, and severe perioperative @entity532 occurred in 36 @entity1 (41%). Overall cumulative survival was 80% at 5  years and 65% at 10 years. Four (12.9%) of the @entity1 treated with mechanical or biological prostheses had a recurrent episode of @entity884 , compared with none of the @entity1 treated with homografts (p  = 0.006). During the second decade, 30-day mortality was lower (3.6%  versus 22%; p  = 0.007) and 5-year cumulative survival was higher (88% versus 66%; p  = 0.027). Age, preoperative serum @entity1011 , and severe perioperative @entity532 were independent predictors of mortality during follow-up. CONCLUSIONS: Aortic @entity340 is associated with a high rate of early @entity532 and substantial early mortality. @entity1 who survive the immediate postoperative period have satisfactory long-term survival. The risk of recurrent @entity884 is low, especially in @entity1 treated with homografts. The results have improved during the past decade.

Surgical Treatment of Aortic XXXX : A 20-Year Single-Center Experience.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity532 :: ('MESH:D003925', 'Disease') :: ['complications'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity340 :: ('MESH:D006349', 'Disease') :: ['prosthetic valve endocarditis', 'PVE'] @entity884 :: ('MESH:D004696', 'Disease') :: ['endocarditis']
@entity340 :: (MESH:D006349,Disease) :: ['Prosthetic Valve Endocarditis']
