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World J Cardiol. Jun 26, 2018; 10(6): 38-40
Published online Jun 26, 2018. doi: 10.4330/wjc.v10.i6.38
More to the picture of the psychological impact of endocarditis and thoracic aortic pathology
Meridith Ginesi, Michael S Firstenberg
Meridith Ginesi, Michael S Firstenberg, Department of Surgery, Summa Akron City Hospital, Akron, OH 44309, United States
Author contributions: Firstenberg MS coordinated the writing of the manuscript, reviewed and edited all revisions, and approved the final submission; Ginesi M designed the response and wrote the majority of the manuscript.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Michael S Firstenberg, MD, Assistant Professor, Doctor, Department of Surgery, Summa Akron City Hospital, 75 Arch Street, Suite 407, Akron, OH 44309, United States. msfirst@gmail.com
Telephone: +1-330-3849001 Fax: +1-330-3849002
Received: February 24, 2018
Peer-review started: February 25, 2018
First decision: March 7, 2018
Revised: March 15, 2018
Accepted: April 1, 2018
Article in press: April 1, 2018
Published online: June 26, 2018
Processing time: 122 Days and 15.9 Hours
Abstract

Over the years there has been substantial advanced in the diagnosis and surgical management of complex thoracic aortic disease and complex endocarditis. As these therapies are being offered to a growing segment of patients-and more and more patients are felt to potentially benefit from such therapies, the long-term consequences of these interventions is sometimes poorly understood. While traditional medical complications, such as stroke, renal failure, respiratory failure, and even death are often the focus of outcomes studies, little is known on the impact of these diseases and therapies on mental health. This commentary emphasizes the importance of better understanding the psychologic impact of endocarditis and thoracic aortic pathology as reviewed by Dr. Bagnasco.

Keywords: Endocarditis, Thoracic aorta, Mental health, Anxiety, Depression

Core tip: Dr. Bagnasco’s review emphasizes the importance of considering the psychologic implications of the diagnosis and therapies associated with thoracic aortic pathology and endocarditis.