Valve replacement for native valve endocarditis.

J P Weaver; F A Crawford; J M Kratz; R M Sade

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PubMed · 6691634

Valve replacement for native valve endocarditis.

J P Weaver·F A Crawford·J M Kratz·R M Sade

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Abstract

Over a 10-year period (1972-1981) 40 valves were replaced in 35 patients with native valve endocarditis. Hospital mortality was 17 per cent (6/35). Long-term follow-up is current in 27 of 29 survivors. Twenty-three of these patients are alive with a mean follow-up of 44.7 months (11-91 months) and an overall survival of 70 per cent. Eighty-seven per cent of the long-term survivors are New York Heart Association (NYHA) Class I or II. In our series, anular or myocardial abscess was an ominous finding; only 25 per cent (2/8) of these patients were alive at long-term follow-up. When abscess was not present, early operation (less than 4 weeks of preoperative antibiotic therapy) was associated with better long-term survival (91%) than was late operation (greater than 4 weeks of preoperative antibiotic therapy, 79%).

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Abscess Adolescent Adult Aged Aortic Valve Cardiomyopathies Child Endocarditis, Bacterial Female Follow-Up Studies Heart Valve Diseases Heart Valve Prosthesis Humans Male Middle Aged Mitral Valve Tricuspid Valve Journal Article

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J P Weaver, F A Crawford, J M Kratz, R M Sade. 1984. Valve replacement for native valve endocarditis.. https://pubmed.ncbi.nlm.nih.gov/6691634/

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