Surgical results of heart valve disease because of bacteriological endocarditis in children at hanoi heart hospital
Main Article Content
Abstract
Objective: Review of some clinical and paraclinical characteristics and evaluation of outcomes after surgical treatment of valvular heart disease due to infective endocarditis in children at Hanoi Heart Hospital
Methods: Analysis and evaluation based on data collected from patients undergoing surgery and from the results of follow-up examination.[1]
Results: The total number of patients was 25. Average age of surgery: 6,56 ± 7.05 years (The lowest age is 1years, the highest is 15 years). Male: 14 patients (56%), female: 11 patients 44(%). Ultrasound before discharge and after 3 months, we found similar results: mean EF:57,25 ± 9,68 %; Mean pressure through mitral valve: 3,5 ± 1,5mmHg; through aortic valve: 12,5 ± 1,68mmHg. Complications: Death immediately after surgery: 0 cases (0%); Late death: there was 1 case of death (4%).
Conclusion: Results of surgery for valvular heart disease due to infective endocarditis in children are positive. The rate of mortality and complications after surgery is low.
Article Details
Keywords
Heart surgery, mitral valve, aortic valve
References
2. Phạm Nguyễn Vinh (2021) : Siêu âm tim thực hành: Bệnh tim bẩm sinh và mắc phải. Nhà xuất bản Y học. Hà nội.
3. Phạm Gia Khải (1996) : Bước đầu nghiên cứu các thông số siêu âm Doppler tim của dòng chảy qua các van tim ở người lớn bình thường. Dự án điều tra cơ bản của Viện Tim mạch quốc gia Việt nam và trường Đại học Y Hà nội. Hà nội.
4. Nguyễn Hoàng Dương (2003) : Nghiên cứu giải phẫu van hai lá người Việt trưởng thành. Luận án Tiến sĩ Y học. Hà Nội.
5. Kirklin JW, Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB, editors. Kirklin/Barratt-Boyes cardiac surgery: morphology, diagnostic criteria, natural history, techniques, results, and indications. 3rd ed. Philadelphia: Churchill Livingstone; 2003. p. 483–554.
6. Awadallah SM, Rae-Ellen KW, Byrum CJ, Smith FC, Kveselis DA,Blackman MS. The changing pattern of infective endocarditis in childhood. Am J Cardiol 1991;68:90±94.
7. Fukushige J, Iragashi H, Ueda K. Spectrum of infective endocarditis during infancy and childhood: 20-year review. Pediatr Cardiol 1994;15:127±131.
8. Citak M, Rees A, Mavroudis C. Surgical management of infective endocarditis in children. Ann Thorac Surg 1992;54:755±760.
9. Nomura F, Penny DJ, Manahem S, Pawade A, Karl TR. Surgical intervention for infective endocarditis in infancy and childhood. Ann Thorac Surg 1995;60:9±15.
10. Schollin J, Bjarke B, Westroom G. Infective endocarditis in Swedish children. II. Location, major complications, laboratory ®ndings, delay of treatment, treatment and outcome. Acta Paediatr Scand 1986;75:999±1004.
11. Donal K, Horvath P, Hucin B et all. Operative treatment of infective endocarditis in children. Eur J Cardio-thorac Surg 1989;3:26±32.
12. C van Doorn, Tolan RW, Kleiman MB, Frank M, King H et all. Operative intervention in active endocarditis in children: report of a series of cases and review. Clin Infect Dis 1992;14:852±862.