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[MSB-55] Surgical Treatment of Infective Endocarditis

Özer Kandemir1, Murat Koç1, Bahadır Gültekin1

  • 1Department of Cardiovascular Surgery, Ankara Etlik City Hospital, Ankara, Türkiye.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|May 5, 2025
PubMed
Abstract

Insights

Surgical treatment for active infective endocarditis (IE) is vital. This study found high mortality and complication rates, emphasizing the need for early diagnosis and intervention in IE patients.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Medical Research

Background:

  • Active infective endocarditis (IE) poses significant clinical challenges.
  • Surgical intervention is often necessary for IE patients unresponsive to antibiotics or with complications.

Purpose of the Study:

  • To analyze surgical outcomes in patients with active infective endocarditis (IE).
  • To identify factors associated with mortality and complications in IE surgery.

Main Methods:

  • Retrospective analysis of 29 patients undergoing surgery for active IE.
  • Procedures included valve repair/replacement, debridement, and prosthetic device management.

Main Results:

  • Operative and early mortality rate was 30% (9 patients).
  • Postoperative complications occurred in 24.1% of patients.
  • Advanced age, heart failure, prosthetic valve endocarditis, and Staphylococcus aureus infection correlated with higher mortality.

Conclusions:

  • Surgical treatment is crucial and life-saving for active IE.
  • Timely diagnosis, antibiotic therapy, and surgical intervention are essential for optimal patient outcomes.
Keywords:
Heart surgeryinfective endocarditisvalve surgery.

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