| Autor: |
Mahdi Aithoussa, Noureddine Atmani, Reda Mounir, Younes Moutakiallah, Mehdi Bamous, Abdessamad Abdou, Fouad Nya, Anis Seghrouchni, Siham Bellouize, Mohamed Drissi, Mostafa Elouennass, Youssef Elbekkali, Abdelatif Boulahya |
| Jazyk: |
English<br />French |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
The Pan African Medical Journal, Vol 28, Iss 245 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
1937-8688 |
| DOI: |
10.11604/pamj.2017.28.245.13518 |
| Popis: |
INTRODUCTION: cardiac surgery is frequently needed during active phase of infective endocarditis (IE). The purpose of this study was to analyze the immediate and late results and determine the risk factors for death. METHODS: we retrospectively reviewed 101 patients with IE operated in the active phase. The mean age was 40.5 ,12.5 years. 16 patients (15.8%) were diagnosed with prosthetic valve endocarditis (PVE). 81 (80.9%) were in NYHA functional class III-IV. Blood cultures were positive in only 24 cases (23.9%). RESULTS: in-hospital mortality rate was 17.9% (18 cases). Multivariate analysis indentified five determinant predictor factors: congestive heart failure (CHF), renal insufficiency, high Euroscore, prolonged cardiopulmonary bypass time ( 120 min) and long ICU stay. The median follow-up period was 4.2 (2-6.5) years. Overall survival rate for all patients who survived surgery was 97% at 5 years and 91% at 10 years. CONCLUSION: despite high in-hospital mortality rate, when patients receive operation early in the active phase of their illness, late outcome may be good. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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