PMID- 29618063
OWN - NLM
STAT- MEDLINE
DCOM- 20190605
LR  - 20190605
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 27
IP  - 4
DP  - 2018 Oct 1
TI  - Endoscopic port access surgery for isolated atrioventricular valve endocarditis.
PG  - 487-493
LID - 10.1093/icvts/ivy103 [doi]
AB  - OBJECTIVES: Our goal was to report the clinical and echocardiographic outcomes of 
      endoscopic port access surgery for isolated active and convalescent 
      atrioventricular valve endocarditis (AVVE). METHODS: Our current surgical team 
      performed endoscopic port access surgery in 66 consecutive patients with isolated 
      AVVE (mean age, 65.5 +/- 12.7 years, 37.9% women, mean EuroSCORE II 31.2 +/- 24.9%, 
      45.5% prosthetic AVVE, Staphylococcus aureus 22.2%), between 1 May 2004 and 31 
      July 2015. Isolated mitral valve endocarditis was present in 53 (80.4%) patients, 
      including 11 (16.7%) with periannular abscesses. RESULTS: Procedures performed 
      included mitral valve repair (n = 15, 22.7%) and left ventricular septal 
      myomectomy (n = 1, 1.5%). Reasons for sternotomy conversion (n = 6, 9.1%) 
      included lung adhesions (n = 3, 4.5%). The mean cardiopulmonary bypass and 
      ischaemic times were 167.2 +/-48.7 and 112.6 +/- 33.3 min, respectively. In-hospital 
      morbidities included revision for bleeding (n = 6, 9.1%). The 30-day survival 
      rate was 87.9%. Causes of in-hospital deaths (n = 12) included low cardiac output 
      syndrome (n = 3, 4.5%). Age, critical preoperative status and EuroSCORE II score 
      predicted deaths individually at the 5% level of significance. The Kaplan-Meier 
      analyses (mean 63.2 +/- 42.5 months) for survival and freedom from AVVE 
      reintervention at 10 years were 69.4% and 98.4%, respectively. Of the mid-term 
      survivors (n = 50, 93.9% complete), 94.0% (n = 47) classified as New York Heart 
      Association (NYHA) II or less with no mitral valve regurgitation greater than 
      Grade I. CONCLUSIONS: Complex atrioventricular valve surgery in the context of 
      AVVE can be endoscopically performed in experienced centres and should not deter 
      surgeons from offering patients with AVVE the potential benefits of minimally 
      invasive cardiac surgery.
FAU - van der Merwe, Johan
AU  - van der Merwe J
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Casselman, Filip
AU  - Casselman F
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Stockman, Bernard
AU  - Stockman B
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Roubelakis, Apostolos
AU  - Roubelakis A
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Vermeulen, Yvette
AU  - Vermeulen Y
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Degrieck, Ivan
AU  - Degrieck I
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
FAU - Van Praet, Frank
AU  - Van Praet F
AD  - Department of Cardiovascular and Thoracic Surgery, OLV Clinic, Aalst, Belgium.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures/*methods
MH  - Endocarditis/complications/diagnosis/*surgery
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/diagnostic imaging/*surgery
MH  - Mitral Valve Insufficiency/diagnosis/etiology/*surgery
MH  - Time Factors
EDAT- 2018/04/05 06:00
MHDA- 2019/06/06 06:00
CRDT- 2018/04/05 06:00
PHST- 2017/09/05 00:00 [received]
PHST- 2018/02/22 00:00 [accepted]
PHST- 2018/04/05 06:00 [pubmed]
PHST- 2019/06/06 06:00 [medline]
PHST- 2018/04/05 06:00 [entrez]
AID - 4958794 [pii]
AID - 10.1093/icvts/ivy103 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2018 Oct 1;27(4):487-493. doi: 
      10.1093/icvts/ivy103.