Cirugía valvular reparadora en endocarditis infecciosa / Valve repair surgery in infectious endocarditis
Rev. méd. Chile
; 132(3): 307-315, mar. 2004. graf
Article
en Es
| LILACS
| ID: lil-384172
Biblioteca responsable:
CL12.1
ABSTRACT
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 andMethods:
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 percent), in the mitral valve in 4 (29 percent) and in both valves in 4 cases (29 percent). Surgical indication was hemodynamic in 50 percent of the cases, echocardiographic in 29 percent and septic in 21 percent. 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 percent 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 (Rev MÚd Chile 2004; 132 307-15).
Texto completo:
1
Colección:
01-internacional
Banco de datos:
LILACS
Asunto principal:
Endocarditis Bacteriana
Límite:
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2004
Tipo del documento:
Article
País de afiliación:
Chile