PMID- 6691634 OWN - NLM STAT- MEDLINE DCOM- 19840223 LR - 20041117 IS - 0003-1348 (Print) IS - 0003-1348 (Linking) VI - 50 IP - 1 DP - 1984 Jan TI - Valve replacement for native valve endocarditis. PG - 40-2 AB - Over a 10-year period (1972-1981) 40 valves were replaced in 35 patients with native valve endocarditis. Hospital mortality was 17 per cent (6/35). Long-term follow-up is current in 27 of 29 survivors. Twenty-three of these patients are alive with a mean follow-up of 44.7 months (11-91 months) and an overall survival of 70 per cent. Eighty-seven per cent of the long-term survivors are New York Heart Association (NYHA) Class I or II. In our series, anular or myocardial abscess was an ominous finding; only 25 per cent (2/8) of these patients were alive at long-term follow-up. When abscess was not present, early operation (less than 4 weeks of preoperative antibiotic therapy) was associated with better long-term survival (91%) than was late operation (greater than 4 weeks of preoperative antibiotic therapy, 79%). FAU - Weaver, J P AU - Weaver JP FAU - Crawford, F A Jr AU - Crawford FA Jr FAU - Kratz, J M AU - Kratz JM FAU - Sade, R M AU - Sade RM LA - eng PT - Journal Article PL - United States TA - Am Surg JT - The American surgeon JID - 0370522 SB - IM MH - Abscess/complications MH - Adolescent MH - Adult MH - Aged MH - Aortic Valve MH - Cardiomyopathies/complications MH - Child MH - Endocarditis, Bacterial/*surgery MH - Female MH - Follow-Up Studies MH - Heart Valve Diseases/mortality/*surgery MH - *Heart Valve Prosthesis/mortality MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve MH - Tricuspid Valve EDAT- 1984/01/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1984/01/01 00:00 PHST- 1984/01/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1984/01/01 00:00 [entrez] PST - ppublish SO - Am Surg. 1984 Jan;50(1):40-2.