PMID- 26469258
OWN - NLM
STAT- MEDLINE
DCOM- 20160505
LR  - 20151016
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 68
IP  - 11
DP  - 2015 Nov
TI  - [Risk Factors in Surgical Intervention for Prosthetic Valve Endocarditis].
PG  - 919-22
AB  - The aim of this retrospective study was to detect the risk factors for 
      in-hospital mortality after surgery for active prosthetic valve endocarditis ( 
      PVE). We reviewed 35 operations for active PVE, including 6 cases of early PVE. 
      Seven patients were New York Heart Association (NYHA) functional class IV. 
      Preoperative mechanical ventilation was necessary in 3 patients, 1 patient 
      required intra-aortic balloon pumping, and another needed percutaneous 
      cardiopulmonary support. Preoperatively, cerebrovascular events were observed in 
      13 patients, annular abscess in 12, and perivalvular leakage in 14. Valve 
      replacement was performed in 24 patients and aortic root replacement in 11. 
      Annular reconstruction was required in 18 patients. There were 6 hospital deaths 
      (17.1%). The results of risk factor analysis showed that early PVE, NYHA 
      functional class IV, and preoperative mechanical ventilation were independent 
      risk factors for in-hospital death after surgery. In conclusion, surgical 
      treatment of PVE should be performed before hemodynamic deterioration.
FAU - Hosono, Mitsuharu
AU  - Hosono M
AD  - Department of Cardiovascular Surgery, Osaka City University, Osaka, Japan.
FAU - Shibata, Toshihiko
AU  - Shibata T
FAU - Murakami, Takashi
AU  - Murakami T
FAU - Sakaguchi, Masanori
AU  - Sakaguchi M
FAU - Suehiro, Shigefumi
AU  - Suehiro S
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Endocarditis, Bacterial/microbiology/*surgery
MH  - Female
MH  - Heart Valve Prosthesis/*adverse effects
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prosthesis-Related Infections/*surgery
MH  - Reoperation
MH  - Risk Factors
MH  - Treatment Outcome
EDAT- 2015/10/16 06:00
MHDA- 2016/05/06 06:00
CRDT- 2015/10/16 06:00
PHST- 2015/10/16 06:00 [entrez]
PHST- 2015/10/16 06:00 [pubmed]
PHST- 2016/05/06 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2015 Nov;68(11):919-22.