|
KMID : 0364020070400050341
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 5 p.341 ~ p.350
|
|
|
Short Term and Midterm Surgical Results for Infective Endocarditis - Does Wide Debridement and Reconstruction Affect the Post Operative Mortality and Morbidity?
|
|
Yie Kil-Soo
Na Chan-Young
Oh Sam-Sae
Kim Jae-Hyun
Shinn Sung-Ho
Kim Jong-Hwan
Kim Soo-Cheol
|
|
|
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 and Method: 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.
|
|
|
KEYWORD
|
|
|
Endocarditis, Valves, Infection, Surgery for acquired cardiovascular disease
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|