| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1994;108:207-214
© 1994 Mosby, Inc.
SURGERY FOR ACQUIRED HEART DISEASE |
Denver Colo., San Antonio, Tex., Hines, Ill., and Tucson, Ariz.
Supported by the Cooperative Studies Program of the Department of Veterans Affairs Medical Research Service.
Address for reprints: Frederick L. Grover, MD, Surgical Service (112), Department of Veterans Affairs Medical Center, 1055 Clermont, Denver, CO 80220.
Abstract
For the determination of the risk factors associated with the development of and death caused by prosthetic valve endocarditis, data were reviewed from 66 patients who were prospectively entered into the Veterans Affairs Cooperative Study on Valvular Heart Disease and in whom prosthetic valve endocarditis subsequently developed. Data were recorded at 13 medical centers between October 1977 and September 1982 in patients randomized to receive a mechanical valve (Björk-Shiley spherical disc, n = 510 patients) or a bioprosthetic valve (Hancock porcine heterograft, n = 522 patients). The average rate of prosthetic valve endocarditis development was 0.8% per year over an average follow-up period of 7.7 years. Of the 66 patients in whom prosthetic valve endocarditis developed (5.8%), 15 cases occurred within 2 months of operation (early) and 51 occurred after operation (late). The most significant preoperative predictor of prosthetic valve endocarditis was active endocarditis at the time of operation (7.4% versus 0.9%) (p = 0.001). Early prosthetic valve endocarditis occurred more frequently in patients who underwent operation for multivalvular disease (p = 0.023). Significantly related perioperative variables were coma, prolonged mechanical ventilation, deep postoperative wound infection, postoperative jaundice, ventricular tachycardia, ventricular fibrillation, and replacement of more than one valve (p < 0.05). Multivariate predictors were hypoxia (p = 0.001), preoperative endocarditis (p = 0.003), preoperative valve lesion (p = 0.020), and resident surgeon (p = 0.05). Significant preoperative variables predictive of late prosthetic valve endocarditis were mitral stenosis and mixed mitral stenosis-regurgitation. The only multivariate predictor of late prosthetic valve endocarditis was superficial wound infection (p = 0.004). Of deaths attributable to prosthetic valve endocarditis, 41% occurred in patients treated with antibiotics alone, 48% occurred in patients treated with surgical intervention and antibiotics, and death resulted in both patients who received no treatment. No difference was found in the risk of early or late postoperative prosthetic valve endocarditis developing in patients receiving the mechanical valve versus those receiving the bioprosthetic valve. (J THORAC CARDIOVASC SURG 1994;108;207-14)
This article has been cited by other articles:
|
|
 |
|
  F. Yao, L. Han, Z.-y. Xu, L.-j. Zou, S.-d. Huang, Z.-n. Wang, F.-l. Lu, and Y.-l. Yao Surgical treatment of multivalvular endocarditis: Twenty-one-year single center experience. J. Thorac. Cardiovasc. Surg., June 1, 2009; 137(6): 1475 - 1480. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Stamou, G. Petterson, and A. M. Gillinov Surgical Treatment of Mitral Valve Endocarditis Card. Surg. Adult, January 1, 2008; 3(2008): 1069 - 1078. [Full Text]
|
|
|
|
 |
|
 T. E. Paterick, T. J. Paterick, R. A. Nishimura, and J. M. Steckelberg Complexity and Subtlety of Infective Endocarditis Mayo Clin. Proc., May 1, 2007; 82(5): 615 - 621. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Wang, E. Athan, P. A. Pappas, V. G. Fowler Jr, L. Olaison, C. Pare, B. Almirante, P. Munoz, M. Rizzi, C. Naber, et al. Contemporary Clinical Profile and Outcome of Prosthetic Valve Endocarditis JAMA, March 28, 2007; 297(12): 1354 - 1361. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Lopez, A. Revilla, I. Vilacosta, E. Villacorta, C. Gonzalez-Juanatey, I. Gomez, M. J. Rollan, and J. A. San Roman Definition, clinical profile, microbiological spectrum, and prognostic factors of early-onset prosthetic valve endocarditis Eur. Heart J., March 2, 2007; 28(6): 760 - 765. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. C. Farinas, A. Perez-Vazquez, C. Farinas-Alvarez, J. D. Garcia-Palomo, J. M. Bernal, J. M. Revuelta, and J. Gonzalez-Macias Risk Factors of Prosthetic Valve Endocarditis: A Case-Control Study Ann. Thorac. Surg., April 1, 2006; 81(4): 1284 - 1290. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G Doukas, M Oc, C Alexiou, A W Sosnowski, N J Samani, and T J Spyt Mitral valve repair for active culture positive infective endocarditis Heart, March 1, 2006; 92(3): 361 - 363. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. W. Karchmer, D. F. Torchiana, C. U. Chae, N. A. Afridi, and S. L. Houser Case 29-2004 - A 75-Year-Old Woman with Acute Onset of Chest Pain Followed by Fever N. Engl. J. Med., September 16, 2004; 351(12): 1240 - 1248. [Full Text] [PDF]
|
|
|
|
|
|
E F Akowuah, W Davies, S Oliver, J Stephens, I Riaz, P Zadik, and G Cooper Prosthetic valve endocarditis: early and late outcome following medical or surgical treatment Heart, March 1, 2003; 89(3): 269 - 272. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Filsoufi and D. H. Adams Surgical Treatment of Mitral Valve Endocarditis Card. Surg. Adult, January 1, 2003; 2(2003): 987 - 997. [Full Text]
|
|
|
|
|
|
R O M Netzer, S C Altwegg, E Zollinger, M Tauber, T Carrel, and C Seiler Infective endocarditis: determinants of long term outcome Heart, July 1, 2002; 88(1): 61 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Mylonakis and S. B. Calderwood Infective Endocarditis in Adults N. Engl. J. Med., November 1, 2001; 345(18): 1318 - 1330. [Full Text] [PDF]
|
|
|
|
 |
|
 T. Mihaljevic, J. G. Byrne, L. H. Cohn, and S. F. Aranki Long-term results of multivalve surgery for infective multivalve endocarditis Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 842 - 846. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J M Guerra, M P Tornos, G Permanyer-Miralda, B Almirante, M Murtra, and J Soler-Soler Long term results of mechanical prostheses for treatment of active infective endocarditis Heart, July 1, 2001; 86(1): 63 - 68. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Duran, H. Sunar, T. Ege, S. Canbaz, F. Akata, and G. Ozbay Excision of Aortic Vegetation in Brucella Endocarditis Asian Cardiovasc Thorac Ann, March 1, 2001; 9(1): 59 - 61. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Alexiou, S. M. Langley, H. Stafford, J. A. Lowes, S. A. Livesey, and J. L. Monro Surgery for active culture-positive endocarditis: determinants of early and late outcome Ann. Thorac. Surg., May 1, 2000; 69(5): 1448 - 1454. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Perez-Vazquez, M. C. Farinas, J. D. Garcia-Palomo, J. M. Bernal, J. M. Revuelta, and J. Gonzalez-Macias Evaluation of the Duke Criteria in 93 Episodes of Prosthetic Valve Endocarditis: Could Sensitivity Be Improved? Arch Intern Med, April 24, 2000; 160(8): 1185 - 1191. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K Truninger, C H A. Jost, B Seifert, P R Vogt, F Follath, A Schaffner, and R Jenni Long term follow up of prosthetic valve endocarditis: what characteristics identify patients who were treated successfully with antibiotics alone? Heart, December 1, 1999; 82(6): 714 - 720. [Abstract] [Full Text]
|
|
|
|
|
|
M.-B. Edwards, C. P. Ratnatunga, C. J. Dore, and K. M. Taylor Thirty-day mortality and long-term survival following surgery for prosthetic endocarditis: a study from the UK heart valve registry Eur. J. Cardiothorac. Surg., August 1, 1999; 14(2): 156 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, J. J. Defauw, S. M. Ernst, T. W. Craenen, B. M. De Jongh, and A. B. de la Riviere Allograft Aortic Root Replacement in Prosthetic Aortic Valve Endocarditis: A Review of 32 Patients Ann. Thorac. Surg., June 1, 1997; 63(6): 1644 - 1649. [Abstract] [Full Text]
|
|
|
|
|
|
D. D. Muehrcke, D. M. Cosgrove III, B. W. Lytle, P. C. Taylor, A. M. Burgar, C. P. Durnwald, and F. D. Loop Is There an Advantage to Repairing Infected Mitral Valves? Ann. Thorac. Surg., June 1, 1997; 63(6): 1718 - 1724. [Abstract] [Full Text]
|
|
|
|
|
|
F. Jault, I. Gandjbakhch, A. Rama, M. Nectoux, V. Bors, E. Vaissier, P. Nataf, A. Pavie, and C. Cabrol Active Native Valve Endocarditis: Determinants of Operative Death and Late Mortality Ann. Thorac. Surg., June 1, 1997; 63(6): 1737 - 1741. [Abstract] [Full Text]
|
|
|
|
|
|
W. Vongpatanasin, L. D. Hillis, and R. A. Lange Prosthetic Heart Valves N. Engl. J. Med., August 8, 1996; 335(6): 407 - 416. [Full Text] [PDF]
|
|
|
|
|
|
B. W. Lytle, B. P. Priest, P. C. Taylor, F. D. Loop, S. K. Sapp, R. W. Stewart, P. M. McCarthy, D. Muehrcke, and D. M. Cosgrove III SURGICAL TREATMENT OF PROSTHETIC VALVE ENDOCARDITIS J. Thorac. Cardiovasc. Surg., January 1, 1996; 111(1): 198 - 210. [Abstract] [Full Text]
|
|
|
|
|
|
A. K. Agnihotri, D. C. McGiffin, A. J. Galbraith, and M. F. O'Brien THE PREVALENCE OF INFECTIVE ENDOCARDITIS AFTER AORTIC VALVE REPLACEMENT J. Thorac. Cardiovasc. Surg., December 1, 1995; 110(6): 1708 - 1724. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. F. Aranki, D. H. Adams, R. J. Rizzo, G. S. Couper, T. E. Sullivan, J. J. Collins Jr, and L. H. Cohn Determinants of Early Mortality and Late Survival in Mitral Valve Endocarditis Circulation, November 1, 1995; 92(9): 143 - 149. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
