Short Term and Midterm Surgical Results for Infective Endocarditis: Does Wide Debridement and Reconstruction Affect the Post Operative Mortality and Morbidity? / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 341-350, 2007.
Artigo
em Coreano
| WPRIM
| ID: wpr-117366
ABSTRACT
BACKGROUND:
We present here the early and midterm surgical results for infective endocarditis and we especially focus on the effect of aggressive reconstruction or root implantation after wide debridement. MATERIAL ANDMETHOD:
Between January 1995 and Jun 2006, we enrolled 79 adult infective endocarditis patients who underwent surgical treatment. There were 63 and 16 native and prosthetic valve endocarditis cases, respectively. They included 27 cases of culture negative endocarditis. With performing valve replacement or repair, 28 of the patient underwent a more aggressive surgical option, for example, aortic root replacement or reconstruction, or heart base reconstruction etc.RESULT:
There were statistical relationships between the in-hospital mortality and staphylococcal infection, urgent-based operation and operation during the active phase of endocarditis. Wide debridement and aggressive reconstruction were not related to either the post operative mortality or the early morbidity. Culture negative endocarditis was not related to the postoperative mortality and morbidity.CONCLUSION:
Physicians must pay attention to patients' medical treatment during the preoperative period of the infective endocarditis. If surgery is considered for treating infective endocarditis, it should be performed before the downhill course of the disease so that the surgical outcome is improved. Wide debridement and more aggressive reconstruction are also warranted.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Infecções Estafilocócicas
/
Mortalidade
/
Mortalidade Hospitalar
/
Desbridamento
/
Endocardite
/
Período Pré-Operatório
/
Coração
Tipo de estudo:
Estudo prognóstico
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
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