Conclusions
Medical treatment provided to be a reasonable option in uncomplicated
cases of Bentall infective endocarditis, although, relapse of infection
of the aortic conduit is not uncommon during early and mid-term
follow-up. A close clinical and imaging follow-up is necessary in these
patients in order to rule out any subtle recurrence or development of
complications following a multimodality imaging approach in case of
inconclusive or suspicious transthoracic or transoesophageal
echocardiography (14,25,26). A surgical reoperation represents the only
definitive approach especially in complicated cases. Despite expected
technical and medical difficulties and a non-negligible operative
mortality, the benefits of redo surgery are stable with satisfactory
outcomes at mid-term follow-up.