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서지반출
Single and Multiple Valve Surgery in Native Valve Infective Endocarditis
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  • Single and Multiple Valve Surgery in Native Valve Infective Endocarditis
  • Single and Multiple Valve Surgery in Native Valve Infective Endocarditis
저자명
Kim. Tae Sik,Na. Chan-Young,Oh. Sam Sae,Kim. Jae Hyun,Yie. Gil Soo,Han. Jung Wook,Chae. Min Cheol
간행물명
The Korean journal of thoracic and cardiovascular surgery
권/호정보
2013년|46권 4호|pp.256-264 (9 pages)
발행정보
대한흉부외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Background: Surgical treatment of infective endocarditis (IE) remains a challenge, especially in cases of multiple valve surgery. We evaluated the clinical outcomes of native valve IE and compared the outcomes of single valve surgery with those of multiple valve surgery. Materials and Methods: From 1997 to 2011, 90 patients underwent surgery for native valve IE; 67 patients with single valve surgery (single valve group) and 23 patients with multiple valve surgery (multiple valve group). The mean follow-up duration was $73.1{pm}47.4$ months. Results: The surgical mortality in the total cohort was 4.4%. The overall survival (p=0.913) and valve-related event-free survival (p=0.204) did not differ between the two groups. The independent predictor of postoperative complications was New York Heart Association class (p=0.001). Multiple valve surgery was not a significant predictor of surgical mortality (p=0.225) or late mortality (p=0.936). Uncontrolled infection, urgent or emergency surgery, and postoperative complications were identified as independent predictors of valve-related morbidity, excluding multiple valve surgery (p=0.072). Conclusion: In native valve IE, multiple valve surgery as a factor was not an independent predictor of mortality and morbidity. The number of surgically corrected valves in native IE seems to be unrelated to perioperative and long-term outcomes.