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Single and Multiple Valve Surgery in Native Valve Infective Endocarditis
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 256-264, 2013.
Artículo en Inglés | 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 AND

METHODS:

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.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Cirugía Torácica / New York / Estudios de Cohortes / Estudios de Seguimiento / Supervivencia sin Enfermedad / Urgencias Médicas / Endocarditis / Corazón / Válvulas Cardíacas Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos País/Región como asunto: America del Norte Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Cirugía Torácica / New York / Estudios de Cohortes / Estudios de Seguimiento / Supervivencia sin Enfermedad / Urgencias Médicas / Endocarditis / Corazón / Válvulas Cardíacas Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos País/Región como asunto: America del Norte Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2013 Tipo del documento: Artículo