ABSTRACT
Introduction:
Infective endocarditis is a
disease that progresses with
morbidity and
mortality, afecting 3-10 out of 100,000 people per year. We conducted this study to
review the early outcomes of surgical
treatment of
infective endocarditis.
Methods:
In this
retrospective study, 122
patients who underwent
cardiac surgery for
infective endocarditis in our clinic between November 2009 and December 2020 were evaluated.
Patients were divided into two groups according to
in-hospital mortality. Demographic, echocardiographic,
laboratory, operative, and postoperative data of the groups were compared.
Results:
Between November 3, 2009, and December 7, 2020, 122
patients were operated for
infective endocarditis in our
hospital.
Emergency surgery was performed in nine (7.3%)
patients.
In-hospital mortality occurred in 23 (18.9%)
patients, and 99 (81.1%)
patients were discharged.
In-hospital mortality was related with older age, presence of periannular
abscess,
New York Heart Association class 3 or 4 symptoms, low
albumin level, high
alanine aminotransferase level, and longer cross-
clamping time (P<0.05 for all).
Conclusion:
The presence of paravalvular
abscess was the most important
prognostic factor in
patients operated for
infective endocarditis.