Abstract
Surgery for active endocarditis is indicated in cases of congestive heart failure (CHF), persistent sepsis, systemic embolization and paravalvular involvement.To assess and report the long term results of surgery in adult patients.Retrospective review of clinical records and operative procedures of 32 patients aged 43+/- 13 years (28 women) subjected to reparative surgery for complications of endocarditis between 1993 to 2005.In 25% of cases, endocarditis presented as a prolonged sepsis syndrome and in 31% as a CHF or both. The causative bacteria was Gram (+) in 53% and blood cultures were negative in 47%. Preoperative echocardiography showed vegetations in 56% of cases. An annular abscess, aortic valve rupture and bicuspid valve, was observed in 13% of patients. Post operative mortality was due to persistent sepsis and multi-organic dysfunction in 16%. Mean long term follow up was 43.8+/-47.2 months. Actuarial survival was 78% at 146 months.Surgical management of active endocarditis provides a good symptomatic recovery, with an excellent long term actuarial survival.
Highlights
Surgery for active endocarditis is indicated in cases of congestive heart failure (CHF), persistent sepsis, systemic embolization and paravalvular involvement
Results: In 25% of cases, endocarditis presented as a prolonged sepsis syndrome and in 31% as a CHF or both
En nuestro estudio el germen más frecuentemente aislado corresponde al Estreptococo sp (25%) en especial el E viridans, seguido por el Estafilococo aureus (21,8%), lo cual concuerda con series nacionales[12], pero se diferencia de series internacionales, donde el germen causal más frecuentemente encontrado corresponde al Estafilococo aureus[23]
Summary
Surgery for active endocarditis is indicated in cases of congestive heart failure (CHF), persistent sepsis, systemic embolization and paravalvular involvement. Aim: To assess and report the long term results of surgery in adult patients. Results: In 25% of cases, endocarditis presented as a prolonged sepsis syndrome and in 31% as a CHF or both. Mean long term follow up was 43.8±47.2 months. Actuarial survival was 78% at 146 months. Conclusion: Surgical management of active endocarditis provides a good symptomatic recovery, with an excellent long term actuarial survival (Rev Méd Chile 2008; 136: 31-7). (Key words: Endocarditis, bacterial; Heart valve diseases; Thoracic surgery). AInternos Carrera de Medicina, Universidad de La Frontera.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
