Early results for active infective endocarditis
INTRODUCTION: cardiac surgery is frequently needed during active phase of infective endocarditis (IE). The purpose of this study was to analyze the immediate and late results and determine the risk factors for death. METHODS: we retrospectively reviewed 101 patients with IE operated in the active ph...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2017-11-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/28/245/pdf/245.pdf
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| _version_ | 1819125238732947456 |
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| author | Mahdi Aithoussa Noureddine Atmani Reda Mounir Younes Moutakiallah Mehdi Bamous Abdessamad Abdou Fouad Nya Anis Seghrouchni Siham Bellouize Mohamed Drissi Mostafa Elouennass Youssef Elbekkali Abdelatif Boulahya |
| author_facet | Mahdi Aithoussa Noureddine Atmani Reda Mounir Younes Moutakiallah Mehdi Bamous Abdessamad Abdou Fouad Nya Anis Seghrouchni Siham Bellouize Mohamed Drissi Mostafa Elouennass Youssef Elbekkali Abdelatif Boulahya |
| author_sort | Mahdi Aithoussa |
| collection | DOAJ |
| description | INTRODUCTION: cardiac surgery is frequently needed during active phase of infective endocarditis (IE). The purpose of this study was to analyze the immediate and late results and determine the risk factors for death. METHODS: we retrospectively reviewed 101 patients with IE operated in the active phase. The mean age was 40.5 ,12.5 years. 16 patients (15.8%) were diagnosed with prosthetic valve endocarditis (PVE). 81 (80.9%) were in NYHA functional class III-IV. Blood cultures were positive in only 24 cases (23.9%). RESULTS: in-hospital mortality rate was 17.9% (18 cases). Multivariate analysis indentified five determinant predictor factors: congestive heart failure (CHF), renal insufficiency, high Euroscore, prolonged cardiopulmonary bypass time ( 120 min) and long ICU stay. The median follow-up period was 4.2 (2-6.5) years. Overall survival rate for all patients who survived surgery was 97% at 5 years and 91% at 10 years. CONCLUSION: despite high in-hospital mortality rate, when patients receive operation early in the active phase of their illness, late outcome may be good. |
| first_indexed | 2024-12-22T07:36:58Z |
| format | Article |
| id | doaj.art-4d7f0c9464714179a71e72e274a6e8d5 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-22T07:36:58Z |
| publishDate | 2017-11-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-4d7f0c9464714179a71e72e274a6e8d52022-12-21T18:33:51ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-11-012824510.11604/pamj.2017.28.245.1351813518Early results for active infective endocarditisMahdi Aithoussa0Noureddine Atmani1Reda Mounir2Younes Moutakiallah3Mehdi Bamous4Abdessamad Abdou5Fouad Nya6Anis Seghrouchni7Siham Bellouize8Mohamed Drissi9Mostafa Elouennass10Youssef Elbekkali11Abdelatif Boulahya12 Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Souissi, Madinat Al Irfane, 10100 Rabat, Moroc Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Souissi, Madinat Al Irfane, 10100 Rabat, Moroc Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco Department of Cardiovascular Surgery, Mohammed V Teaching Military Hospital, Hay Riad, 10100 Rabat, Morocco INTRODUCTION: cardiac surgery is frequently needed during active phase of infective endocarditis (IE). The purpose of this study was to analyze the immediate and late results and determine the risk factors for death. METHODS: we retrospectively reviewed 101 patients with IE operated in the active phase. The mean age was 40.5 ,12.5 years. 16 patients (15.8%) were diagnosed with prosthetic valve endocarditis (PVE). 81 (80.9%) were in NYHA functional class III-IV. Blood cultures were positive in only 24 cases (23.9%). RESULTS: in-hospital mortality rate was 17.9% (18 cases). Multivariate analysis indentified five determinant predictor factors: congestive heart failure (CHF), renal insufficiency, high Euroscore, prolonged cardiopulmonary bypass time ( 120 min) and long ICU stay. The median follow-up period was 4.2 (2-6.5) years. Overall survival rate for all patients who survived surgery was 97% at 5 years and 91% at 10 years. CONCLUSION: despite high in-hospital mortality rate, when patients receive operation early in the active phase of their illness, late outcome may be good. https://www.panafrican-med-journal.com/content/article/28/245/pdf/245.pdf infective endocarditisvalvular surgeryactive phase |
| spellingShingle | Mahdi Aithoussa Noureddine Atmani Reda Mounir Younes Moutakiallah Mehdi Bamous Abdessamad Abdou Fouad Nya Anis Seghrouchni Siham Bellouize Mohamed Drissi Mostafa Elouennass Youssef Elbekkali Abdelatif Boulahya Early results for active infective endocarditis The Pan African Medical Journal infective endocarditis valvular surgery active phase |
| title | Early results for active infective endocarditis |
| title_full | Early results for active infective endocarditis |
| title_fullStr | Early results for active infective endocarditis |
| title_full_unstemmed | Early results for active infective endocarditis |
| title_short | Early results for active infective endocarditis |
| title_sort | early results for active infective endocarditis |
| topic | infective endocarditis valvular surgery active phase |
| url |
https://www.panafrican-med-journal.com/content/article/28/245/pdf/245.pdf
|
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