Cirugía valvular reparadora en endocarditis infecciosa
| Autor: | Carlos Pérez C, Samuel Córdova A, Sandra Braun J, Luis Garrido O, Pedro Becker R, Manuel J Irarrázaval Ll, Francisca Casas R, Iván Godoy J, Fernando Yáñez D, Sergio Morán V, Ricardo Zalaquett S, Jaime Labarca L, Gastón Chamorro S |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Mechanical ventilation
Mitral valve repair medicine.medical_specialty business.industry medicine.medical_treatment Hemodynamics Surgical procedures operative) General Medicine Regurgitation (circulation) medicine.disease Surgery medicine.anatomical_structure Valve replacement Mitral valve Internal medicine cardiovascular system medicine Cardiology Cardiovascular surgical procedures Endocarditis bacterial Endocarditis Cardiovascular Surgical Procedure cardiovascular diseases business |
| Zdroj: | Revista médica de Chile v.132 n.3 2004 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0034-9887 |
| DOI: | 10.4067/s0034-98872004000300005 |
| Popis: | Background: Valve replacement has been the treatment of choice for patients with valvular complications of infectious endocarditis (IE). However, excellent results with valve repair allowed it to become a new therapeutic alternative for these patients. Aim: To evaluate the results of valve repair in patients with valvular complications of IE. Patients and Methods: From January 1991 to December 2000, 14 patients with valvular complications of IE underwent valve repair. Mean age was 37.9 ± 14.9. Results: New York Heart Association (NYHA) class was 2.8 ± 0.9. IE was located in the aortic in 6 (42%), in the mitral valve in 4 (29%) and in both valves in 4 cases (29%). Surgical indication was hemodynamic in 50% of the cases, echocardiographic in 29% and septic in 21%. Five aortic valves were bicuspid, 3 mitral valves were myxomatous and the rest were normal. The most common septic lesions were vegetations and leaflet perforations. A total of 23 aortic and 21 mitral valve repair procedures were performed. There were no deaths. Only 1 patient had a surgical complication (renal failure and prolonged mechanical ventilation). Follow-up was 100% complete. There was not late mortality. One patient with bone marrow aplasia required reoperation for a new episode of IE 19 months later. At the end of the follow-up NYHA class was 1.3 ± 0.6 and echocardiography showed a mild or absence of valve regurgitation in most patients. Conclusions: Valve repair surgery in IE has good results, with advantages over valve replacement (Rev Med Chile 2004; 132: 307-15). (Key Words: Cardiovascular surgical procedures; Endocarditis, bacterial; Surgical procedures, operative) |
| Databáze: | OpenAIRE |
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