title: [Surgery for infectious endocarditis].
abstract: OBJECTIVE
  to assess the experience of both departments in the surgical therapy of infective endocarditis--indications and results.
  
  
  METHODS
  retrospective analysis on clinical data, surgery and follow up.
  
  
  METHODS
  patients (pts) studied in the Cardiology Department and Cardiothoracic Surgery Department of the Santa Marta Hospital in Lisbon.
  
  
  METHODS
  sequential sample of 28 patients (11 females, 17 males, mean age 39 years) submitted to surgery between 1978 and 1987 for infective endocarditis.
  
  
  RESULTS
  the indications for surgery were: heart failure (15 pts), "resistant" infection (8 pts), emboli (4 pts) and "large" vegetations shown by echocardiography (2 pts). Surgical mortality -27.5%. Four patients developed periprosthetic leaks. There was an improvement in functional class of the survivals.
  
  
  CONCLUSIONS
  the indications for surgery were heart failure, "resistant" infection, emboli and "large" vegetations. There was a high surgical mortality, namely in the patients with resistant infection, severe heart failure and periprosthetic leaks. In the follow up there was a net improvement of functional class. The morbidity is due to the periprosthetic leaks, which induced most of the reoperations.
authors: Serviço de Cardiologia, Hospital de Santa Marta de Lisboa.
authors: A F
authors: AF
authors: Agapito
authors: L M
authors: LM
authors: Branco
authors: L
authors: L
authors: Patrício
authors: M L
authors: ML
authors: Ferreira
authors: A J
authors: AJ
authors: Pereira
authors: J A
authors: JA
authors: Oliveira
authors: V
authors: V
authors: Araújo
authors: J M
authors: JM
authors: Vargas
authors: M P
authors: MP
authors: Magalhães
authors: J L
authors: JL
authors: Candido
mesh_terms: D000293:Adolescent; D000328:Adult; D002177:Candidiasis / Q000401:mortality / Q000601:surgery*; D004696:Endocarditis / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Cirurgia na endocardite infecciosa.