Multivalvular surgery for infective endocarditis
Multivalvular surgery for infective endocarditis
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DOI：
10.1016/s0967-2109(98)00152-5
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发表时间：
1999-06-01
期刊：
影响因子：
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通讯作者：
von Segesser, LK
中科院分区：
文献类型：
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作者：
Mueller, XM;Tevaearai, HT;von Segesser, LK
我们分析了25例因感染性心内膜炎接受多瓣膜手术的连续患者的短期和长期结果。术前，20/25例（80%）患者为纽约心脏协会（NYHA）III或LV级，2/25例（8%）患者为心源性休克。除7例二尖瓣和1例三尖瓣可修复外，所有病变瓣膜均置换为机械双叶瓣膜。3/25例（12%）患者发生严重术后并发症：致命的脑出血，可逆性小脑综合征和顽固性心力衰竭，需要移植。在平均4.7年（范围6个月至16.8年）的随访期间，7/25例（28%）患者发生瓣膜相关并发症：5例滤过泡（1例死亡）、1例栓塞事件和1例人工瓣膜血栓形成。10年时无瓣膜相关事件的精算比率为61.8 +/-12.4%，无人工瓣膜心内膜炎。随访时，20/21例（95%）存活者为NYHA I或II级。我们的多瓣膜心内膜炎患者人群的长期结局令人满意，无复发感染，功能结果良好，（C）1999年国际心血管外科学会，Elsevier Science Ltd.出版。保留所有权利。
The short and the long-term results of our experience with 25 consecutive patients who underwent multivalvular surgery for infective endocarditis are analysed. Preoperatively, 20/25 (80%) patients were in New York Heart Association (NYHA) stage III or LV, and 2/25 (8%) patients were in cardiogenic shock All the diseased valves were replaced with mechanical bileaflet prosthesis except seven mitral valves and one tricuspid valve, which could be repaired, Major postoperative complications occurred in 3/25 (12%) patients: a fatal cerebral haemorrhage, a reversible cerebellar syndrome and an intractable heart failure, which required transplantation. During a mean follow-up of 4.7 years (range 6 months to 16.8 years), 7/25 (28%) patients suffered from valve-related complications: five bleedings (one died), one embolic event and one prosthetic valve thrombosis. The actuarial freedom of valve-related event at 10 years was 61.8 +/- 12.4%, There was no prosthetic endocarditis. At follow-up, 20/21 (95%) survivors were in NYHA stage I or II. Long-term outcome in our patient population operated on for multivalvular endocarditis, is satisfactory with no recurrent infection and excellent functional results, (C) 1999 The International Society for Cardiovascular Surgery, Published by Elsevier Science Ltd. All rights reserved.