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
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
Keywords
infective endocarditis, native valve endocarditis, surgery, valvular heart disease
References
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