Original articleAdult cardiacEmergency Surgery for Native Mitral Valve Endocarditis: The Impact of Septic and Cardiogenic Shock
Section snippets
Patient Selection
The Ethics Committee of each participating institution approved the study and waved the need for patient consent according to the national law regulating observational retrospective studies (Law nr.11960, released on 13/7/2004).
Data of patients with ANMVE who had undergone emergency surgery between May 1991 and December 2009 were stored in a common database and were sent to a core laboratory (Careggi Hospital, Florence, Italy) for analysis. Indications for emergency surgery, defined as surgery
Early Outcome
Eighty-two patients (21.6%) died either during their hospital stay or within 30 days of operation. The causes of death were sepsis (35.4%), respiratory failure (19.5%), multiorgan failure (15.8%), myocardial infarction (13.4%), massive bleeding (10.9%), and other causes (5%). Early mortality did not change over time (1991 to 1993, 23.5%; 1994 to 1996, 24.0%; 1997 to 1999, 23.0%; 2000 to 2002, 23.0%; 2003 to 2005, 22.0%; 2006 to 2009, 22.2%; p = 0.9).
Early (30-day) death was higher in mitral
Comment
We evaluated long-term postoperative results of emergency surgery for AMVE in patients with shock (either cardiogenic or septic) from a multicenter experience to determine whether a specific etiology of the shock translated into worse postoperative outcome.
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Cited by (51)
Mitral Valve Infective Endocarditis after Trans-Catheter Aortic Valve Implantation
2022, American Journal of CardiologyCitation Excerpt :HF after IE is a well-described prognostic factor28 and is the most common indication for surgery in left-sided IE.29 Gelsomino et al30 compared the outcomes of 379 patients with no shock, cardiogenic shock, and septic shock after non-TAVI MV-IE. Patients with septic shock exhibited a fourfold higher risk of complications and had a higher risk of postoperative complications and death after surgery.
Infective endocarditis: Epidemiology and prognosis
2022, Revista Portuguesa de CardiologiaCitation Excerpt :The increase in the number of Enterococcus-associated IE cases was also reported in the Spanish multicenter study39 and is likely related to the previously mentioned increase in the prevalence of invasive healthcare-related procedures in recent years, such as intravenous lines, catheterization, hemodialysis, etc. Septic shock, a recognized unfavorable prognostic factor associated with high mortality in IE,44–46 occurred more frequently in the subgroup of patients in the second half of the study. The explanation for this occurrence may be, as previously mentioned, the older age of the population in this subgroup, despite a higher rate of surgical intervention.
Infective endocarditis
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