Interv Akut Kardiol. 2014;13(2):63-66

A survey of patients treated for infective endocarditis at cardiac-surgery department

Petra Pešová, Radim Brát

Kardiochirurgické centrum, Fakultní nemocnice Ostrava

of University Hospital Ostrava in 1998–2012

Purpose: Infective endocarditis is a disease with a relatively low incidence and high mortality. In our study, we present the results of

a range of patients operated at cardiac-surgery department of the University Hospital Ostrava for acute infective endocarditis in 1998–2012.

Methods: This is a retrospective series of patients admitted to our department in the years 1998–2006 (group A) and in the years 2007–2012

(group B) with a diagnosis of acute infective endocarditis by DUKE criteria. We followed and compared in each file location of affected

valve, indication for surgery, causative microorganisms, presence of local complications and mortality and recurrence of the disease.

Results: In 1998–2006 there were in our center operated a total of 67 patients with the diagnosis, the most widespread cause for cardiosurgical

performance was congestive heart failure, predominant was left-sided endocarditis of native valves, etiologically dominated by

group of streptococci and Staphylococcus aureus, the overall mortality in this group of patients was 13.5 %, and recurrence was 6 %. In

2007–2012 71 patients were operated in our centre, the most widespread cause for cardiosurgical performance was uncontrolled infection,

etiologically dominated group of streptococci, the overall mortality in this group of patients was 7 %, and recurrence was 2,8 %.

Conclusions: Compared both group there is a shift in the number of locally complicated endocarditis, growing almost three times the

number of left-sided prosthetic endocarditis, twice the number of right-sided valvular endocarditis, there is a change in epidemiology and

a decrease in overall mortality and recurrence. Despite advances in diagnosis of disease, the number of blood-culture negative IE is increasing.

A limitation of our study is the relatively uneven group of patients and the absence of long-term monitoring of surviving patients.

Keywords: infective endocarditis, indication, surgery, mortality

Published: May 15, 2014  Show citation