open access

Vol 6, No 4 (2004)
Published online: 2005-01-26
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Analysis of postoperative period and early results of surgical treatment of infective endocarditis

Stanisław Ostrowski, Janusz Zasłonka, Ryszard Jaszewski, Michał Wojciechowski, Marcin Barylski, Piotr Okoński, Maciej Banach
Chirurgia Polska 2004;6(4):231-238.

open access

Vol 6, No 4 (2004)
Published online: 2005-01-26

Abstract

Background: Infective endocarditis (IE) is an important diagnostic and therapeutic problem. In many cases the acute course of the disease makes the medical treatment ineffective especially due to an increasing problem of antibiotic resistance. Thus cardiac surgery still remains an important therapeutic procedure. The aim of this study was the analysis of the postoperative period and early results (up to 2 months) of surgical treatment of IE.
Material and methods: The study concerns 31 consecutive patients subjected to operation due to infective endocarditis in Department of Cardiac Surgery Medical University in Lodz between 2001 and 2002. The criteria of reference for surgery, bacteriology, surgical procedure, antibiotic therapy and early postoperative period (< 60 days) were analyzed.
Results: In the early postoperative period 7 patients (22.6%) died. Out of 24 (77.4%) cured patients 14 (58.3%) were followed-up within 2 months and later, all in good health condition.
Conclusions: 1. Cardiac surgery is the only effective procedure in severe infective endocarditis. 2. The timing of the operation seems essential for the outcome. 3. Well matched antibiotic therapy is indispensable.

Abstract

Background: Infective endocarditis (IE) is an important diagnostic and therapeutic problem. In many cases the acute course of the disease makes the medical treatment ineffective especially due to an increasing problem of antibiotic resistance. Thus cardiac surgery still remains an important therapeutic procedure. The aim of this study was the analysis of the postoperative period and early results (up to 2 months) of surgical treatment of IE.
Material and methods: The study concerns 31 consecutive patients subjected to operation due to infective endocarditis in Department of Cardiac Surgery Medical University in Lodz between 2001 and 2002. The criteria of reference for surgery, bacteriology, surgical procedure, antibiotic therapy and early postoperative period (< 60 days) were analyzed.
Results: In the early postoperative period 7 patients (22.6%) died. Out of 24 (77.4%) cured patients 14 (58.3%) were followed-up within 2 months and later, all in good health condition.
Conclusions: 1. Cardiac surgery is the only effective procedure in severe infective endocarditis. 2. The timing of the operation seems essential for the outcome. 3. Well matched antibiotic therapy is indispensable.
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Keywords

surgery; infective endocarditis; prosthesis; mortality; valve

About this article
Title

Analysis of postoperative period and early results of surgical treatment of infective endocarditis

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 6, No 4 (2004)

Pages

231-238

Published online

2005-01-26

Bibliographic record

Chirurgia Polska 2004;6(4):231-238.

Keywords

surgery
infective endocarditis
prosthesis
mortality
valve

Authors

Stanisław Ostrowski
Janusz Zasłonka
Ryszard Jaszewski
Michał Wojciechowski
Marcin Barylski
Piotr Okoński
Maciej Banach

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