PMID- 10430521
OWN - NLM
STAT- MEDLINE
DCOM- 19990921
LR  - 20191024
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 7
IP  - 4
DP  - 1999 Jun
TI  - Multivalvular surgery for infective endocarditis.
PG  - 402-8
AB  - The short and the long-term results of our experience with 25 consecutive 
      patients who underwent multivalvular surgery for infective endocarditis are 
      analysed. Preoperatively, 20/25 (80%) patients were in New York Heart Association 
      (NYHA) stage III or IV, and 2/25 (8%) patients were in cardiogenic shock. All the 
      diseased valves were replaced with mechanical bileaflet prosthesis except seven 
      mitral valves and one tricuspid valve, which could be repaired. Major 
      postoperative complications occurred in 3/25 (12%) patients: a fatal cerebral 
      haemorrhage, a reversible cerebellar syndrome and an intractable heart failure, 
      which required transplantation. During a mean follow-up of 4.7 years (range 6 
      months to 16.8 years), 7/25 (28%) patients suffered from valve-related 
      complications: five bleedings (one died), one embolic event and one prosthetic 
      valve thrombosis. The actuarial freedom of valve-related event at 10 years was 
      61.8 +/- 12.4%. There was no prosthetic endocarditis. At follow-up, 20/21 (95%) 
      survivors were in NYHA stage I or II. Long-term outcome in our patient population 
      operated on for multivalvular endocarditis, is satisfactory with no recurrent 
      infection and excellent functional results.
FAU - Mueller, X M
AU  - Mueller XM
AD  - Department of Cardiovascular Surgery, CHUV, Lausanne, Switzerland. 
      xavier.mueller@chuv.hospvd.ch
FAU - Tevaearai, H T
AU  - Tevaearai HT
FAU - Stumpe, F
AU  - Stumpe F
FAU - Fischer, A P
AU  - Fischer AP
FAU - Hurni, M
AU  - Hurni M
FAU - Ruchat, P
AU  - Ruchat P
FAU - von Segesser, L K
AU  - von Segesser LK
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aortic Valve/*surgery
MH  - *Bioprosthesis
MH  - Disease-Free Survival
MH  - Endocarditis, Bacterial/complications/mortality/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Diseases/etiology/mortality/surgery
MH  - Heart Valve Prosthesis Implantation/*methods/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Postoperative Complications
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - Thromboembolism/etiology
MH  - Time Factors
MH  - Tricuspid Valve/*surgery
EDAT- 1999/08/03 00:00
MHDA- 1999/08/03 00:01
CRDT- 1999/08/03 00:00
PHST- 1999/08/03 00:00 [pubmed]
PHST- 1999/08/03 00:01 [medline]
PHST- 1999/08/03 00:00 [entrez]
AID - S0967-2109(98)00152-5 [pii]
AID - 10.1016/s0967-2109(98)00152-5 [doi]
PST - ppublish
SO  - Cardiovasc Surg. 1999 Jun;7(4):402-8. doi: 10.1016/s0967-2109(98)00152-5.