二尖瓣感染性心内膜炎发病率与重做二尖瓣手术患者的预后。

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiothoracic Surgery Pub Date : 2024-10-01 DOI:10.1186/s13019-024-03063-5
Basel A Jobeir, Abdelkarim E De Vol, Ziyad M Alanazi, Domenico Galzerano, Anas A Jobeir, Aly M Alsanei, Bandar Alamro, Mohammed Alamri, Zohair Y AlHalees, Feras H Khaliel
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引用次数: 0

摘要

背景:对接受重做二尖瓣手术的患者感染性心内膜炎(IE)的发生率进行了评估。记录了所有患者的治疗结果和患者的具体特征。对患者进行分析,以进一步研究该人群中的感染性心内膜炎:这是对沙特阿拉伯利雅得费萨尔国王专科医院和研究中心 2009 年至 2019 年期间收治的重做二尖瓣手术患者进行的回顾性研究,并对电子病历进行了前瞻性随访。研究分析了导致死亡率、发病率和不良事件发生率的术前/术中/术后因素:共有 211 名患者接受了中风再手术,其中 41 名患者(19.4%)出现了 IE;在这部分患者中,有 21 人(51%)在初次中风手术后出现了 IE。50名患者的中压狭窄程度为中度/重度。此外,89 名患者存在中压反流。对数据进行的多变量分析显示了影响死亡率的多种因素:年龄、外周血管疾病、并发症、外周血管疾病、输血、术前机械瓣膜和活动性 IE。院内死亡率为 10.9%。所有患者的一年、五年和十年生存率分别为88%、79%和69%:结论:虽然重做中风手术的结果可以接受,但存在 IE 或同时进行手术对这些患者的健康极为不利。我们的研究强调了对患者进行精心管理和在该领域进行更深入研究以改善患者预后的必要性。
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Outcome of patient undergoing redo mitral valve surgery with incidence rate of mitral valve infective endocarditis.

Background: The incidence of infective endocarditis (IE) in patients undergoing redo mitral valve (MV) surgery was evaluated. The outcomes of all the patients and the patients' specific characteristics were recorded. The patients were analyzed to further the research of IE in this population.

Method: This was a retrospective review of patients admitted for redo MV surgery with a prospective follow-up of electronic medical records at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia, from 2009 to 2019. Pre/intra/post-operative factors contributing to mortality, morbidity, and freedom of adverse events were analyzed.

Result: A total of 211 patients underwent redo MV surgery, and 41 patients (19.4%) had IE; and 51% of this subset of patients, 21 individuals, developed IE after the initial MV surgery. MV stenosis was moderate/severe in 50 patients. Furthermore, MV regurgitation was present in 89 patients. Multivariate analysis of the data revealed multiple factors influencing mortality: age, peripheral vascular disease, concomitant procedures, peripheral vascular disease, red blood cell transfusions, preoperative mechanical valves, and active IE. In-hospital Mortality was 10.9%. The one-, five-, and ten-year survival was 88%, 79%, and 69% across all patients.

Conclusion: Although redo MV surgery has acceptable outcomes; the presence of IE or concomitant procedures is a significant health detriment in these patients. Our study highlights the need for careful patient management and more in-depth research in this area to improve patient outcomes.

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来源期刊
Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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