ABSTRACT
Left ventricular rupture is an infrequent but potentially fatal complication of mitral valve replacement. We report a case of large posterior mid-ventricular rupture following mitral valve replacement, which was successfully treated by a patch repair and autotransplantation.
ABSTRACT
INTRODUCTION: Cardiac surgery is frequently needed during active phase of infective endocarditis (IE). The purpose of this study was to analyze the immediate and late results and determine the risk factors for death. METHODS: We retrospectively reviewed 101 patients with IE operated in the active phase. The mean age was 40.5 ± 12.5 years. 16 patients (15.8%) were diagnosed with prosthetic valve endocarditis (PVE). 81 (80.9%) were in NYHA functional class III-IV. Blood cultures were positive in only 24 cases (23.9%). RESULTS: in-hospital mortality rate was 17.9% (18 cases). Multivariate analysis indentified five determinant predictor factors: congestive heart failure (CHF), renal insufficiency, high Euroscore, prolonged cardiopulmonary bypass time (> 120 min) and long ICU stay. The median follow-up period was 4.2 (2-6.5) years. Overall survival rate for all patients who survived surgery was 97% at 5 years and 91% at 10 years. CONCLUSION: Despite high in-hospital mortality rate, when patients receive operation early in the active phase of their illness, late outcome may be good.
Subject(s)
Cardiac Surgical Procedures/methods , Endocarditis/surgery , Prosthesis-Related Infections/surgery , Adult , Female , Follow-Up Studies , Hospital Mortality , Humans , Intensive Care Units , Length of Stay , Male , Middle Aged , Multivariate Analysis , Operative Time , Prosthesis-Related Infections/epidemiology , Retrospective Studies , Risk Factors , Survival Rate , Treatment OutcomeSubject(s)
Cardiopulmonary Bypass/methods , Diabetes Mellitus, Type 2/physiopathology , Postoperative Complications/epidemiology , Adult , Aged , Aged, 80 and over , Hospital Mortality , Humans , Intensive Care Units/statistics & numerical data , Length of Stay , Male , Middle Aged , Morocco , Respiration, Artificial/statistics & numerical data , Retrospective StudiesABSTRACT
We report a 72 year-old man who presented symptoms of right heart failure and patent superior vena cava syndrome related to a huge ascending aortic aneurysm with a maximal diameter at 11 cm. The patient underwent a successful surgical repair by a modified Bentall operation with good recovery.
