Cirugía valvular reparadora en endocarditis infecciosa

Background: Valve replacement has been the treatment of choice for patients with valvular complications of infectious endocarditis (IE). However, excellent results with valve repair allowed it to become a new therapeutic alternative for these patients. Aim: To evaluate the results of valve repair in...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Zalaquett S,Ricardo, Garrido O,Luis, Casas R,Francisca, Morán V,Sergio, Irarrázaval Ll,Manuel J, Becker R,Pedro, Braun J,Sandra, Córdova A,Samuel, Chamorro S,Gastón, Godoy J,Iván, Yáñez D,Fernando, Labarca L,Jaime, Pérez C,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Cardiovascular surgical procedures Endocarditis, bacterial Surgical procedures, operative)
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300005
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872004000300005
record_format	dspace
spelling	oai:scielo:S0034-988720040003000052004-12-13Cirugía valvular reparadora en endocarditis infecciosaZalaquett S,RicardoGarrido O,LuisCasas R,FranciscaMorán V,SergioIrarrázaval Ll,Manuel JBecker R,PedroBraun J,SandraCórdova A,SamuelChamorro S,GastónGodoy J,IvánYáñez D,FernandoLabarca L,JaimePérez C,Carlos Cardiovascular surgical procedures Endocarditis, bacterial Surgical procedures, operative) Background: Valve replacement has been the treatment of choice for patients with valvular complications of infectious endocarditis (IE). However, excellent results with valve repair allowed it to become a new therapeutic alternative for these patients. Aim: To evaluate the results of valve repair in patients with valvular complications of IE. Patients and Methods: From January 1991 to December 2000, 14 patients with valvular complications of IE underwent valve repair. Mean age was 37.9 ± 14.9. Results: New York Heart Association (NYHA) class was 2.8 ± 0.9. IE was located in the aortic in 6 (42%), in the mitral valve in 4 (29%) and in both valves in 4 cases (29%). Surgical indication was hemodynamic in 50% of the cases, echocardiographic in 29% and septic in 21%. Five aortic valves were bicuspid, 3 mitral valves were myxomatous and the rest were normal. The most common septic lesions were vegetations and leaflet perforations. A total of 23 aortic and 21 mitral valve repair procedures were performed. There were no deaths. Only 1 patient had a surgical complication (renal failure and prolonged mechanical ventilation). Follow-up was 100% complete. There was not late mortality. One patient with bone marrow aplasia required reoperation for a new episode of IE 19 months later. At the end of the follow-up NYHA class was 1.3 ± 0.6 and echocardiography showed a mild or absence of valve regurgitation in most patients. Conclusions: Valve repair surgery in IE has good results, with advantages over valve replacement (Rev Méd Chile 2004; 132: 307-15).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.3 20042004-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300005es10.4067/S0034-98872004000300005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiovascular surgical procedures Endocarditis, bacterial Surgical procedures, operative)
spellingShingle	Cardiovascular surgical procedures Endocarditis, bacterial Surgical procedures, operative) Zalaquett S,Ricardo Garrido O,Luis Casas R,Francisca Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Braun J,Sandra Córdova A,Samuel Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando Labarca L,Jaime Pérez C,Carlos Cirugía valvular reparadora en endocarditis infecciosa
description	Background: Valve replacement has been the treatment of choice for patients with valvular complications of infectious endocarditis (IE). However, excellent results with valve repair allowed it to become a new therapeutic alternative for these patients. Aim: To evaluate the results of valve repair in patients with valvular complications of IE. Patients and Methods: From January 1991 to December 2000, 14 patients with valvular complications of IE underwent valve repair. Mean age was 37.9 ± 14.9. Results: New York Heart Association (NYHA) class was 2.8 ± 0.9. IE was located in the aortic in 6 (42%), in the mitral valve in 4 (29%) and in both valves in 4 cases (29%). Surgical indication was hemodynamic in 50% of the cases, echocardiographic in 29% and septic in 21%. Five aortic valves were bicuspid, 3 mitral valves were myxomatous and the rest were normal. The most common septic lesions were vegetations and leaflet perforations. A total of 23 aortic and 21 mitral valve repair procedures were performed. There were no deaths. Only 1 patient had a surgical complication (renal failure and prolonged mechanical ventilation). Follow-up was 100% complete. There was not late mortality. One patient with bone marrow aplasia required reoperation for a new episode of IE 19 months later. At the end of the follow-up NYHA class was 1.3 ± 0.6 and echocardiography showed a mild or absence of valve regurgitation in most patients. Conclusions: Valve repair surgery in IE has good results, with advantages over valve replacement (Rev Méd Chile 2004; 132: 307-15).
author	Zalaquett S,Ricardo Garrido O,Luis Casas R,Francisca Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Braun J,Sandra Córdova A,Samuel Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando Labarca L,Jaime Pérez C,Carlos
author_facet	Zalaquett S,Ricardo Garrido O,Luis Casas R,Francisca Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Braun J,Sandra Córdova A,Samuel Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando Labarca L,Jaime Pérez C,Carlos
author_sort	Zalaquett S,Ricardo
title	Cirugía valvular reparadora en endocarditis infecciosa
title_short	Cirugía valvular reparadora en endocarditis infecciosa
title_full	Cirugía valvular reparadora en endocarditis infecciosa
title_fullStr	Cirugía valvular reparadora en endocarditis infecciosa
title_full_unstemmed	Cirugía valvular reparadora en endocarditis infecciosa
title_sort	cirugía valvular reparadora en endocarditis infecciosa
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300005
work_keys_str_mv	AT zalaquettsricardo cirugiavalvularreparadoraenendocarditisinfecciosa AT garridooluis cirugiavalvularreparadoraenendocarditisinfecciosa AT casasrfrancisca cirugiavalvularreparadoraenendocarditisinfecciosa AT moranvsergio cirugiavalvularreparadoraenendocarditisinfecciosa AT irarrazavalllmanuelj cirugiavalvularreparadoraenendocarditisinfecciosa AT beckerrpedro cirugiavalvularreparadoraenendocarditisinfecciosa AT braunjsandra cirugiavalvularreparadoraenendocarditisinfecciosa AT cordovaasamuel cirugiavalvularreparadoraenendocarditisinfecciosa AT chamorrosgaston cirugiavalvularreparadoraenendocarditisinfecciosa AT godoyjivan cirugiavalvularreparadoraenendocarditisinfecciosa AT yanezdfernando cirugiavalvularreparadoraenendocarditisinfecciosa AT labarcaljaime cirugiavalvularreparadoraenendocarditisinfecciosa AT perezccarlos cirugiavalvularreparadoraenendocarditisinfecciosa
_version_	1718436139641077760

Cirugía valvular reparadora en endocarditis infecciosa

Ejemplares similares