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[Heart valve replacement in active infectious endocarditis].

B Meier1, M Turina, P G Frick

  • 1Medizinische Klinik, Kantonsspital Luzern.

Schweizerische Medizinische Wochenschrift
|August 19, 1989
PubMed
Summary
This summary is machine-generated.

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Cardiac surgery for active infective endocarditis in 87 patients showed a 19% mortality rate. Survivors experienced significant long-term benefits, with 91% in NYHA classes I-II after 52 months.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Context:

  • Retrospective analysis of 87 patients undergoing cardiac surgery for active infective endocarditis between 1975 and 1987.
  • Involved 72 native and 19 prosthetic valves, with Streptococci and Staphylococci as primary pathogens.

Purpose:

  • To evaluate the outcomes and complications of surgical treatment for active infective endocarditis.

Summary:

  • 91 emergency operations were performed, with indications including heart failure (52%), embolism (21%), and uncontrolled infection (11%).
  • Mortality rate was 19%, with 16 patients requiring reoperation. Postoperative complications affected 39% of patients.
  • Long-term follow-up (mean 52 months) showed 91% of survivors in NYHA classes I-II.

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Impact:

  • Surgical intervention for infective endocarditis can lead to favorable long-term functional outcomes despite significant perioperative risks and complications.
  • Highlights the importance of timely surgical management and addressing complications like reoperation and prosthetic valve endocarditis.