[Surgery for infectious endocarditis].

A F Agapito; L M Branco; L Patrício; M L Ferreira; A J Pereira; J A Oliveira; V Araújo; J M Vargas; M P Magalhães; J L Candido

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PubMed · 2257155

[Surgery for infectious endocarditis].

A F Agapito·L M Branco·L Patrício·M L Ferreira·A J Pereira·J A Oliveira·V Araújo·J M Vargas·M P Magalhães·J L Candido

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Abstract

OBJECTIVE: to assess the experience of both departments in the surgical therapy of infective endocarditis--indications and results. DESIGN: retrospective analysis on clinical data, surgery and follow up. SETTING: patients (pts) studied in the Cardiology Department and Cardiothoracic Surgery Department of the Santa Marta Hospital in Lisbon. PATIENTS AND INTERVENTIONS: sequential sample of 28 patients (11 females, 17 males, mean age 39 years) submitted to surgery between 1978 and 1987 for infective endocarditis. MEASUREMENTS AND RESULTS: the indications for surgery were: heart failure (15 pts), "resistant" infection (8 pts), emboli (4 pts) and "large" vegetations shown by echocardiography (2 pts). Surgical mortality -27.5%. Four patients developed periprosthetic leaks. There was an improvement in functional class of the survivals. CONCLUSION: the indications for surgery were heart failure, "resistant" infection, emboli and "large" vegetations. There was a high surgical mortality, namely in the patients with resistant infection, severe heart failure and periprosthetic leaks. In the follow up there was a net improvement of functional class. The morbidity is due to the periprosthetic leaks, which induced most of the reoperations.

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Adolescent Adult Candidiasis Endocarditis Endocarditis, Bacterial Female Follow-Up Studies Humans Male Middle Aged Retrospective Studies English Abstract Journal Article

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A F Agapito, L M Branco, L Patrício, M L Ferreira, A J Pereira, J A Oliveira, V Araújo, J M Vargas, M P Magalhães, J L Candido. 1990. [Surgery for infectious endocarditis].. https://pubmed.ncbi.nlm.nih.gov/2257155/

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