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55960

EARLY RESULTS AFTER SURGICAL TREATMENT OF INFECTIVE ENDOCARDITIS

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Last updated: 22 Jan 2023

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Abstract

Background: Infective endocarditis remains a major cause of morbidity and mortality worldwide. There are concerns related to the increased number of infections associatedwith virulent agents and medical procedures. Objective: The aim of this study was to reveiw the surgical experience in the cardiothoracic surgical department, National Heart Institute (NHI) regarding patients with native or prosthetic valve endocarditis and determining predictors of mortality. Patients and Methods: A prospective study of fifty consecutive patients diagnosed with definite infective endocarditis andunderwent cardiac surgery from July 2014 till September 2015. We tested preoperative, intraoperative, and postoperative data as potential predictors of mortality. Results: Rheumatic heart disease was the most common underlying cardiac disease (n=28, 56%). Native valve endocarditis was present in 37 (74%) and prosthetic valve endocarditis in 13 (26%). Mean Euro SCORE II was 5.71%. The hospital mortality was 20%, while the 6-month mortality was 12.5%. Congestive heart failure, embolization, and periannular extension of infection are the most powerful predictors of hospital mortality. Periannular extension of infection is the most powerful predictor of 6-month mortality. Conclusion: Surgery for infective endocarditis continues to be challenging. EuroSCORE II has a good discrimination ability to predict in-hospital mortality in IE surgery. Satisfactory results can be obtained with valve repair in IE.

DOI

10.12816/0035538

Keywords

Infective endocarditis, Surgery, mortality, predictors

Authors

First Name

Ahmad

Last Name

F. Elmasry

MiddleName

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Affiliation

Cardiothoracic Surgery Departments. National Heart Institute

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First Name

Abdelrahman

Last Name

M. Abdelrahman

MiddleName

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Affiliation

Cardiothoracic Surgery Departments, Faculty of Medicine, AL-Azhar University

Email

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City

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Orcid

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First Name

Amr

Last Name

E. Shalaby

MiddleName

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Affiliation

Cardiothoracic Surgery Departments. National Heart Institute

Email

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City

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Orcid

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First Name

Walid

Last Name

AE. Hammad

MiddleName

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Affiliation

Cardiothoracic Surgery Departments, Faculty of Medicine, EL-Azhar University

Email

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City

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Orcid

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First Name

Mohammad

Last Name

S. AbdAllah

MiddleName

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Affiliation

Cardiothoracic Surgery Departments, Faculty of Medicine, EL-Azhar University

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City

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Orcid

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Volume

46

Article Issue

1

Related Issue

8496

Issue Date

2017-01-01

Receive Date

2017-01-01

Publish Date

2017-01-01

Page Start

87

Page End

104

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_55960.html

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https://amj.journals.ekb.eg/service?article_code=55960

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10

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

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Article

Created At

22 Jan 2023