Valve Replacement for Acute Left Heart Endocarditis

Acute Disease; Adult; Aged; Endocarditis, Bacterial/complications/mortality/surgery; Female; Heart Failure/etiology; Heart Valve Prosthesis; Humans; Male; Middle Aged; Prosthesis-Related Infections/surgery; Reoperation; Retrospective Studies; Survival Rate

Abstract :

[en] Between January 1982 and June 1993, 66 patients (48 men and 18 women of mean (range) age 50 (21-77) years) underwent valve replacement for acute infective endocarditis. There were 45 aortic valve and 17 mitral valve infections. Four patients had bivalvular involvement. Fifty-three patients suffered from native valve endocarditis, with underlying valvular lesions documented for 31 patients. Staphylococci and Streptococci spp. were responsible for 68% of infection, and 20% of blood and valve cultures were negative. Refractory congestive heart failure was the leading surgical indication in 86% of patients. The mean follow-up period was 44 months. The perioperative mortality rate was 6%. Actuarial survival rates were 88.5% at 1 year and 83% at 3 years. No early recurrence of infection was noted. Six patients (9%) needed reoperation. Satisfactory results confirm that early surgical management should be considered in patients with complicated infective endocarditis.

Disciplines :

Surgery
General & internal medicine
Immunology & infectious disease

Author, co-author :

Detry, Olivier ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation

Defraigne, Jean-Olivier ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Biochimie générale

Limet, Raymond ; Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique

Language :

English

Title :

Valve Replacement for Acute Left Heart Endocarditis

Publication date :

1995

Journal title :

Cardiovascular Surgery

ISSN :

0967-2109

Publisher :

Elsevier, Exeter, United Kingdom

Volume :

Issue :

Pages :

529-35

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 12 November 2013

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