PMID- 15376567
OWN - NLM
STAT- MEDLINE
DCOM- 20050215
LR  - 20191108
IS  - 0034-9887 (Print)
IS  - 0034-9887 (Linking)
VI  - 132
IP  - 3
DP  - 2004 Mar
TI  - [Valve repair surgery in infectious endocarditis].
PG  - 307-15
AB  - BACKGROUND: Valve replacement has been the treatment of choice for patients with 
      valvular complications of infectious endocarditis (IE). However, excellent 
      results with valve repair allowed it to become a new therapeutic alternative for 
      these patients. AIM: To evaluate the results of valve repair in patients with 
      valvular complications of IE. PATIENTS AND METHODS: From January 1991 to December 
      2000, 14 patients with valvular complications of IE underwent valve repair. Mean 
      age was 37.9 +/- 14.9. RESULTS: New York Heart Association (NYHA) class was 2.8 
      +/- 0.9. IE was located in the aortic in 6 (42%), in the mitral valve in 4 (29%) 
      and in both valves in 4 cases (29%). Surgical indication was hemodynamic in 50% 
      of the cases, echocardiographic in 29% and septic in 21%. Five aortic valves were 
      bicuspid, 3 mitral valves were myxomatous and the rest were normal. The most 
      common septic lesions were vegetations and leaflet perforations. A total of 23 
      aortic and 21 mitral valve repair procedures were performed. There were no 
      deaths. Only 1 patient had a surgical complication (renal failure and prolonged 
      mechanical ventilation). Follow-up was 100% complete. There was not late 
      mortality. One patient with bone marrow aplasia required reoperation for a new 
      episode of IE 19 months later. At the end of the follow-up NYHA class was 1.3 +/- 
      0.6 and echocardiography showed a mild or absence of valve regurgitation in most 
      patients. CONCLUSIONS: Valve repair surgery in IE has good results, with 
      advantages over valve replacement.
FAU - Zalaquett, Ricardo
AU  - Zalaquett R
AD  - Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia 
      Universidad Catolica de Chile. rzalaque@med.puc.cl
FAU - Garrido, Luis
AU  - Garrido L
FAU - Casas, Francisca
AU  - Casas F
FAU - Moran, Sergio
AU  - Moran S
FAU - Irarrazaval, Manuel J
AU  - Irarrazaval MJ
FAU - Becker, Pedro
AU  - Becker P
FAU - Braun, Sandra
AU  - Braun S
FAU - Cordova, Samuel
AU  - Cordova S
FAU - Chamorro, Gaston
AU  - Chamorro G
FAU - Godoy, Ivan
AU  - Godoy I
FAU - Yanez, Fernando
AU  - Yanez F
FAU - Labarca, Jaime
AU  - Labarca J
FAU - Perez, Carlos
AU  - Perez C
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Cirugia valvular reparadora en endocarditis infecciosa.
PL  - Chile
TA  - Rev Med Chil
JT  - Revista medica de Chile
JID - 0404312
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Insufficiency/drug therapy/surgery
MH  - Endocarditis, Bacterial/drug therapy/*surgery
MH  - Female
MH  - Heart Valve Diseases/drug therapy/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Mitral Valve Insufficiency/drug therapy/surgery
EDAT- 2004/09/21 05:00
MHDA- 2005/02/16 09:00
CRDT- 2004/09/21 05:00
PHST- 2004/09/21 05:00 [pubmed]
PHST- 2005/02/16 09:00 [medline]
PHST- 2004/09/21 05:00 [entrez]
AID - 10.4067/s0034-98872004000300005 [doi]
PST - ppublish
SO  - Rev Med Chil. 2004 Mar;132(3):307-15. doi: 10.4067/s0034-98872004000300005.