Surgical management of infective endocarditis: an analysis of early and 1 year result in native valve patients at vietnam heart institute from 2018 to 2019

Phuong Anh Do1, , Ngoc Hung Phong
1 Bach Mai Hospital

Main Article Content

Abstract

Background: about 50% of infective endocarditis patients require surgery, but mortality and complications rates are still high, both the immediate postoperative period and 1 year follow-up.


Study: To find out the early (first 30 days) and up to 1 year mortality and  complication rates  in native valve infective endocarditis patients after surgery. [1]


Subjects and  methods: 66 native valve infective endocarditis patients were operated at the Vietnam Heart Institute- Bach Mai Hospital, followed up to 1 year after surgery.


Methods: longitudinal follow-up retrospective, cross-sectional  observational study.


Results: The mortality rate in the first 30 days was 9.1%, the additional mortality rate after 1 year was 1.7%, the cumulative mortality rate up to 1 year after surgery was 10.6. %, the survival rate was 89.4%. IE recurrence rate was 1.5%. The most common complications in the early postoperative period: renal failure (9.1%) and pleural effusion (9.1%), pneumonia (6.1%) cerebrovascular accident (3%) and  atrioventricular block (1.5%). Follow- up to 1 year, 33.3% of patients had to be re-hospitalized due to cardiovascular events.

Article Details

References

1. Gösta B Pettersson, Syed T Hussain, et al. 2019 Current AATS guidelines on surgical treatment of infective endocarditis, Ann Cardiothorac Surg, 8(6): 630–644. DOI: https://doi.org/10.21037/acs.2019.10.05
2. Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). European Heart Journal, 36, 3075–3128. DOI: https://doi.org/10.1093/eurheartj/ehv319
3. Abdulhak AAB, Baddour LM, Erwin PJ, Hoen B, Chu VH, Mensah GA, et al.(2014) Global and regional burden of infective endocarditis, 1990-2010: a systematic review of the literature. Glob Heart. 2014;9(1):131-43. DOI: https://doi.org/10.1016/j.gheart.2014.01.002
4. Eagle KA, Guyton RA, Davidoff R et al (2004), ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task, Circulation ;111(15):2014. DOI: https://doi.org/10.1161/01.CIR.0000138790.14877.7D
5. Pant S., Patel N.J., Deshmukh A. et al . (2015). Trends in infective endocarditis incidence, microbiology, and valve replacement in the United States from 2000 to 2011. J Am Coll Cardiol, 65(19), 2070-2076. DOI: https://doi.org/10.1016/j.jacc.2015.03.518
6. Fatima S., Dao B., Jameel A. et al . (2017). Epidemiology of Infective Endocarditis in Rural Upstate New York, 2011 - 2016. J Clin Med Res, 9(9), 754-758. DOI: https://doi.org/10.14740%2Fjocmr3131w
7. F. J. Baumgartner, J. C. Milliken, J. M. Robertson et al. (2007), "Clinical patterns of surgical endocarditis", J Card Surg, 22(1), tr. 32-8. DOI: https://doi.org/10.1111/j.1540-8191.2007.00334.x
8. D. J. Marks, C. Hyams, C. Y. Koo et al. (2015), "Clinical features, microbiology and surgical outcomes of infective endocarditis: a 13-year study from a UK tertiary cardiothoracic referral centre", QJM, 108(3), tr. 219-29. DOI: https://doi.org/10.1093/qjmed/hcu188
9. P. Y. Pang, Y. K. Sin, C. H. Lim et al. (2015), "Surgical management of infective endocarditis: an analysis of early and late outcomes", Eur J Cardiothorac Surg, 47(5), tr. 826-32. DOI: https://doi.org/10.1093/ejcts/ezu281
10. A. Dodge, M. Hurni, P. Ruchat et al. (1995), "Surgery in native valve endocarditis: indications, results and risk factors", Eur J Cardiothorac Surg, 9(6), tr. 330-4. DOI: https://doi.org/10.1016/s1010-7940(05)80192-7
11. Murdoch D.R., Corey G.R., Hoen B. et al . (2009). Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med, 169(5), 463-473. DOI: https://doi.org/10.1001/archinternmed.2008.603.