Long-Term Outcomes in Valve Replacement Surgery for Infective Endocarditis

摘要: Background Infective endocarditis is associated with a high rate of long-term mortality. Patients history intravenous drug use (IVDU) are at increased risk for infective endocarditis. However, few studies have reported results surgical treatment on this population. We present 19.5 years experience surgically treated patients Methods A retrospective study all cardiac surgeries diagnosis single institution from 1986 to 2005 was performed. Logistic stepwise regression an end point operative mortality done. Variables were age, gender, race, use, previous valve surgery, and replacement. Perioperative outcome variables compared between IVDU non-IVDU populations. Results The population required surgery younger age (39 ± 9 versus 54 15 years; p = 0.78). Kaplan-Meier estimator showed that survival 10 66% 54% 56% 42% (number risk, 19, 11, 61, 28, respectively; 0.137). Reoperation recurrent necessary in (17%) 52 the group 14 (5%) 270 ( 0.03). Conclusions reoperation significantly higher than patients. Long-term similar older Anticipated life span one many factors when considering prosthetic choice