Short-term Outcome of Patients with Infective Endocarditis: A Single-center Prospective Study

Anesth Essays Res. 2017 Oct-Dec;11(4):1018-1021. doi: 10.4103/aer.AER_66_17.

Abstract

Objectives: To investigate the short-term outcome of patients with infective endocarditis (IE).

Patients and methods: We analyzed data from 42 patients with active endocarditis which underwent different cardiac surgeries. An active endocarditis was considered due to urine analysis and/or blood culture and acute inflammation Gram stains of sample tissue and/or blood culture and acute inflammation Gram stains of sample tissue.

Design: Collecting data of 42 patients prospectively.

Setting: University hospital single center.

Participants: Patients with IE from July 2014 to June 2016.

Interventions: None.

Measurement and main results: We collected data of 42 patients in Imam Hospital which is a university-based 1700-bed center. Twelve patients experienced a redo operation; in which, 2 of them have had the second redo. Five patients underwent an aortic valve replacement operation, 2 mitral valve repair, and only one patient had experienced a subaortic web resection. Seven cases were addict; in which, 5 of them were intravenous abusers. There was 1 porphyric patient which suffered from pethidine reliability. Most of our cases underwent Bentall or tricuspid valve repair operation, and multivalve operation was more scarce.

Conclusions: We have presented the therapeutic strategies and outcome of patients with IE and evaluated their short-term outcome.

Keywords: Cardiac surgery; infective endocarditis; multivalve infective endocarditis.