Revista medica de Chile · 2008
[Surgery for bacterial endocarditis: retrospective study of 32 patients].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Bahamondes Juan Carlos, Merino S Gustavo, Silva V Abelardo, Salman A Juan, Redel S Iván, Droguett G Jean Pierre
Аннотация
BACKGROUND: 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.
PATIENTS AND METHODS: 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.
RESULTS: 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.
CONCLUSION: Surgical management of active endocarditis provides a good symptomatic recovery, with an excellent long term actuarial survival.
AIM: To assess and report the long term results of surgery in adult patients.
PATIENTS AND METHODS: 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.
RESULTS: 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.
CONCLUSION: Surgical management of active endocarditis provides a good symptomatic recovery, with an excellent long term actuarial survival.