| Autor: |
Enomoto, Masahide, Suzuki, Tomoaki, Kinoshita, Takeshi, Takashima, Noriyuki, Minamidate, Naoshi, Lee, Junghun, Wakisaka, Hodaka, Asai, Tohru |
| Zdroj: |
General Thoracic & Cardiovascular Surgery; Mar2021, Vol. 69 Issue 3, p434-443, 10p |
| Abstrakt: |
Objective: The aim of this study was to evaluate our surgical treatment outcomes of active infective endocarditis (IE) of mitral valve in relation to the patients' complexity scores. Methods: We reviewed 51 patients who underwent surgical treatment for active IE on the mitral valve, in our hospital between September 2002 and November 2016. We adapted a complexity scoring scale to describe the range of parts suffering vegetation and damage, assigning the following weighting: weight 1 for each posterior segment; weight 2 for each anterior segment, commissural segment, left atrium, or left ventricle; weight 3 if the annulus was involved or if pathology extended to a prior mitral operation site. A total of 51 patients were identified and categorized by complexity score into two groups: 1–2: Simple (n = 19); ≥ 3: Complex (n = 32). Results: MV repair was achieved in 18 patients (95%) in the Simple group and 26 patients (81%) in the Complex group. In the Complex there were 2 in-hospital deaths (6%). There were none in the Simple. The 5-year survival rates were 100% in the Simple and 79.6% in the Complex (P < 0.05). The 5-year rates of freedom from mitral regurgitation were 77.8% in the Simple and 91.5% in the Complex (P = 0.63). The 5-year rates of freedom from recurrence of IE were 93.3% in the Simple and 92.2% in the Complex (P = 0.76). Conclusions: We found consistent outcomes in terms of recurrent mitral regurgitation and recurrence of IE, regardless of lesion complexity. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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