Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2869235 | Annales de Cardiologie et d'Angéiologie | 2010 | 6 Pages |
Abstract
Between January 1990Â and December 2006, 93Â patients with infective endocarditis on native valves were operated in the active phase of the disease. The average age of our patients was 32Â years with a male ascendancy. The causal heart disorder was found in 89Â % of the cases, dominated by rheumatoid arthritis. The germ in cause was isolated in 52.6Â % of the cases. The operative indication was hemodynamic in 29Â cases, infectious in nine cases, mixed in 29Â cases and embolic in 26Â cases. The average operating delay was of 13Â days with regard to the beginning of the antibiotic treatment. We realized a valvular aortic replacement at 32Â patients with reconstruction of the ring in six cases, a valvular mitral replacement at 29Â patients, a mitroaortic replacement at 21Â patients, a reconstructive mitral surgery in nine cases, a valvular tricuspid replacement in one case and a reconstructive tricuspid surgery in one case. The early mortality was 13Â %. The follow-up was 89Â % with an average recession of 3.1Â years and a late mortality of 5Â %. The aim of this study is to analyze the immediate and late results of the surgery of infective endocarditis in the active phase and to bring to light the prognostic factors of mortality.
Keywords
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Authors
A. Tarmiz, S. Jerbi, M.S. Fradi, M. Beltaïfa, S. Mlika, N. Romdhani, F. Limayem, K. Ennabli,