Single and Multiple Valve Surgery in Native Valve Infective Endocarditis
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 256-264, 2013.
Article
in English
| WPRIM
| ID: wpr-207539
ABSTRACT
BACKGROUND:
Surgical treatment of infective endocarditis (IE) remains a challenge, especially in cases of multiple valve surgery. We evaluated the clinical outcomes of native valve IE and compared the outcomes of single valve surgery with those of multiple valve surgery. MATERIALS ANDMETHODS:
From 1997 to 2011, 90 patients underwent surgery for native valve IE; 67 patients with single valve surgery (single valve group) and 23 patients with multiple valve surgery (multiple valve group). The mean follow-up duration was 73.1+/-47.4 months.RESULTS:
The surgical mortality in the total cohort was 4.4%. The overall survival (p=0.913) and valve-related event-free survival (p=0.204) did not differ between the two groups. The independent predictor of postoperative complications was New York Heart Association class (p=0.001). Multiple valve surgery was not a significant predictor of surgical mortality (p=0.225) or late mortality (p=0.936). Uncontrolled infection, urgent or emergency surgery, and postoperative complications were identified as independent predictors of valve-related morbidity, excluding multiple valve surgery (p=0.072).CONCLUSION:
In native valve IE, multiple valve surgery as a factor was not an independent predictor of mortality and morbidity. The number of surgically corrected valves in native IE seems to be unrelated to perioperative and long-term outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Thoracic Surgery
/
New York
/
Cohort Studies
/
Follow-Up Studies
/
Disease-Free Survival
/
Emergencies
/
Endocarditis
/
Heart
/
Heart Valves
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2013
Type:
Article
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