Immediate and long-term results following repair of aortic left ventricular discontinuity: a 25-year experience
| Autor: | P. N. Symbas, A. G. Justicz, N. A. Anderson |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Heart Ventricles Aortic Valve Insufficiency Aorta Thoracic Postoperative Complications Blood vessel prosthesis Recurrence medicine.artery Cause of Death Streptococcal Infections Medicine Endocarditis Humans Radiology Nuclear Medicine and imaging Surgical repair Bioprosthesis Aorta business.industry Suture Techniques Perioperative Endocarditis Bacterial Middle Aged Staphylococcal Infections medicine.disease Surgery Blood Vessel Prosthesis Survival Rate medicine.anatomical_structure Ventricle Cardiothoracic surgery Anesthesia Heart Valve Prosthesis Subacute bacterial endocarditis Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Cardiovascular surgery (London, England). 3(3) |
| ISSN: | 0967-2109 |
| Popis: | From 1967 to 1993, 21 patients underwent surgical repair of aortic left ventricular discontinuity as a result of acute bacterial endocarditis. Repair of the defect between the aorta and left ventricle was usually with interposition of a patch (prosthetic patch or autologous pericardium), using a continuous monofilament suture. Interrupted pledgetted stitches were used when the ventricular tissue appeared friable. A valve prosthesis was then sewn to the patch and remaining annulus. Three patients died in the immediate perioperative period. Long follow-up ranging from 5 to 142 months (mean 36 months) is available on 17 of 18 survivors. There were six deaths in this group from 11 to 142 months (mean 67 months) from initial surgery. Of 11 long-term survivors (5 to 61 months (mean 21 months) after operation), nine have had event-free courses. Two cases of recurrent subacute bacterial endocarditis occurred 3 and 52 months after surgery in patients who were intravenous drug abusers, both of whom were managed medically. It is concluded that while aortic left ventricular discontinuity remains a potentially lethal complication of acute bacterial endocarditis, debridement of infected necrotic tissue, patch repair of the defect, and prosthetic valve replacement offer satisfactory immediate and late results. |
| Databáze: | OpenAIRE |
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