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.