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  • Title: [Surgery for bacterial endocarditis: retrospective study of 32 patients].
    Author: Bahamondes JC, Merino S G, Silva V A, Salman A J, Redel S I, Droguett G JP.
    Journal: Rev Med Chil; 2008 Jan; 136(1):31-7. PubMed ID: 18483651.
    Abstract:
    BACKGROUND: Surgery for active endocarditis is indicated in cases of congestive heart failure (CHF), persistent sepsis, systemic embolization and paravalvular involvement. AIM: To assess and report the long term results of surgery in adult patients. PATIENTS AND METHODS: Retrospective review of clinical records and operative procedures of 32 patients aged 43+/- 13 years (28 women) subjected to reparative surgery for complications of endocarditis between 1993 to 2005. RESULTS: In 25% of cases, endocarditis presented as a prolonged sepsis syndrome and in 31% as a CHF or both. The causative bacteria was Gram (+) in 53% and blood cultures were negative in 47%. Preoperative echocardiography showed vegetations in 56% of cases. An annular abscess, aortic valve rupture and bicuspid valve, was observed in 13% of patients. Post operative mortality was due to persistent sepsis and multi-organic dysfunction in 16%. Mean long term follow up was 43.8+/-47.2 months. Actuarial survival was 78% at 146 months. CONCLUSION: Surgical management of active endocarditis provides a good symptomatic recovery, with an excellent long term actuarial survival.
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