title: [Early and Late Outcomes of Valve Surgery in Active Infective Endocarditis Patients with Cerebral Complications].
abstract: We carried out a retrospective evaluation of the early and late outcomes of valve surgery for acute endocarditis patients with cerebrovascular disease. Between January 2002 and August 2014, a total of 17 patients (early group, n=10;delayed group, n=7) underwent valve surgery with or without an additional procedure. Craniotomy was performed in 1 patient in the early group and 2 patients in the delayed group before valve surgery. There was 1 in-hospital death due to acute respiratory distress syndrome in the early group and 1 death due to intestinal bleeding in the delayed group. Postoperative deterioration was observed in 1 in the delayed group. Overall survival in the early group was 90% and was not significantly different from survival in the delayed group (86%). In conclusion, our study demonstrated good early and mid-term outcomes for valve surgery in active endocarditis patients with cerebrovascular disease. There was no postoperative deterioration in the early group. Thus, an early operation for these patients may be acceptable.
authors.affiliation: Department of Cardiovascular Surgery, Cerebral and Cardiovascular Center, Tachikawa General Hospital, Tachikawa Medical Center, Nagaoka, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Fuyuki
authors.initials: F
authors.lastname: Asami
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kimura
authors.forename: Ayako
authors.initials: A
authors.lastname: Nagasawa
authors.forename: Satoru
authors.initials: S
authors.lastname: Shiraiwa
authors.forename: Shinpei
authors.initials: S
authors.lastname: Yoshii
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000150:complications*; D004696:Endocarditis / Q000150:complications / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome