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Surgical Treatment of Aortic Calve Endocarditis: Experience of Cardiovascular Surgery Unit University Hospital Mohammed VI-Marrakech Morocco

Methods: Between 2012 and 2018, 35 patients were operated for aortic valve endocarditis. The gender ratio was 0.9. The average age of our patients was 39.4. (16-73) years. 72% of patients were followed for aortic valvulopathy. One patient had a history of aortic valvuloplasty. A persistent ductus arteriosus (PDA) associated with coarctation of the aorta was found in one case. 84% of patients were admitted with heart failure. The echocardiogram revealed isolated aortic vegetation in 29 patients, aortic and mitral vegetation in 6 patients, an abscess of the aortic ring in 17 patients, a perforation was found in 15 cases and one left aortic fistula in 9 patients. The left ventricular ejection fraction (LVEF) was low in 14 patients. Pulmonary arterial hypertension (PAH) was found in 6 patients. The blood culture was positive in 8 patients. Two patients had renal insufficiency.