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Valve-related factors and incidence of prosthetic valve endocarditis

AIM: The aim of the study was to present our experience and evaluate the valve-related factors and the incidence of prosthetic valve endocarditis. MATERIAL AND METHODS: This is a retrospective study. Between 2010 and 2018, 36 patients were re-operated on due to prosthetic valve endocarditis The valv...

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Autores principales: Bezak, Branislav, Artemiou, Panagiotis, Hulman, Michal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848622/
https://www.ncbi.nlm.nih.gov/pubmed/33552180
http://dx.doi.org/10.5114/kitp.2020.102341
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author Bezak, Branislav
Artemiou, Panagiotis
Hulman, Michal
author_facet Bezak, Branislav
Artemiou, Panagiotis
Hulman, Michal
author_sort Bezak, Branislav
collection PubMed
description AIM: The aim of the study was to present our experience and evaluate the valve-related factors and the incidence of prosthetic valve endocarditis. MATERIAL AND METHODS: This is a retrospective study. Between 2010 and 2018, 36 patients were re-operated on due to prosthetic valve endocarditis The valve-related factors (type, size and position of the prosthetic valve) were analysed. RESULTS: Thirty-six patients had prosthetic valve endocarditis. The overall hospital mortality was 16.67%. Early vs. late onset prosthetic valve endocarditis mortality was 23.08% vs. 13.04% respectively. The type, size or position of the prosthesis was not associated with prosthetic valve endocarditis. There was a statistically significant difference between occurrence of prosthetic infection between mitral repair and replacement both in mechanical and biological valve groups. The most common infective agent in the early onset group was Staphylococcus aureus, whereas in the late onset group it was Enterococcus faecalis. Out of 13 patients with early prosthetic valve endocarditis, 11 had infection in the perioperative period around primary operation. CONCLUSIONS: Based on our experience, prosthetic valve endocarditis has a high mortality. Early onset prosthetic valve endocarditis is less common but has higher mortality compared to the late onset. Mitral valve repair was less prone to develop prosthetic valve endocarditis, and valve-related factors (type and size of the valve, valve position) did not have any influence on the incidence of prosthetic valve endocarditis.
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spelling pubmed-78486222021-02-04 Valve-related factors and incidence of prosthetic valve endocarditis Bezak, Branislav Artemiou, Panagiotis Hulman, Michal Kardiochir Torakochirurgia Pol Original Paper AIM: The aim of the study was to present our experience and evaluate the valve-related factors and the incidence of prosthetic valve endocarditis. MATERIAL AND METHODS: This is a retrospective study. Between 2010 and 2018, 36 patients were re-operated on due to prosthetic valve endocarditis The valve-related factors (type, size and position of the prosthetic valve) were analysed. RESULTS: Thirty-six patients had prosthetic valve endocarditis. The overall hospital mortality was 16.67%. Early vs. late onset prosthetic valve endocarditis mortality was 23.08% vs. 13.04% respectively. The type, size or position of the prosthesis was not associated with prosthetic valve endocarditis. There was a statistically significant difference between occurrence of prosthetic infection between mitral repair and replacement both in mechanical and biological valve groups. The most common infective agent in the early onset group was Staphylococcus aureus, whereas in the late onset group it was Enterococcus faecalis. Out of 13 patients with early prosthetic valve endocarditis, 11 had infection in the perioperative period around primary operation. CONCLUSIONS: Based on our experience, prosthetic valve endocarditis has a high mortality. Early onset prosthetic valve endocarditis is less common but has higher mortality compared to the late onset. Mitral valve repair was less prone to develop prosthetic valve endocarditis, and valve-related factors (type and size of the valve, valve position) did not have any influence on the incidence of prosthetic valve endocarditis. Termedia Publishing House 2021-01-15 2020-12 /pmc/articles/PMC7848622/ /pubmed/33552180 http://dx.doi.org/10.5114/kitp.2020.102341 Text en Copyright: © 2021 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Bezak, Branislav
Artemiou, Panagiotis
Hulman, Michal
Valve-related factors and incidence of prosthetic valve endocarditis
title Valve-related factors and incidence of prosthetic valve endocarditis
title_full Valve-related factors and incidence of prosthetic valve endocarditis
title_fullStr Valve-related factors and incidence of prosthetic valve endocarditis
title_full_unstemmed Valve-related factors and incidence of prosthetic valve endocarditis
title_short Valve-related factors and incidence of prosthetic valve endocarditis
title_sort valve-related factors and incidence of prosthetic valve endocarditis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848622/
https://www.ncbi.nlm.nih.gov/pubmed/33552180
http://dx.doi.org/10.5114/kitp.2020.102341
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