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Thorac Cardiovasc Surg 2023; 71(01): 22-28
DOI: 10.1055/s-0040-1721462
Original Cardiovascular

Long-Term Results of Patch Repair in Destructive Valve Endocarditis

Jing Li
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Christian Zilz
2   Department of Occupational, Social and Environmental Medicine, Ludwig-Maximilian University Hospital Munich, Munich, Germany
,
Bernhard Floerchinger
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Andreas Holzamer
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Daniele Camboni
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Christian Schach
3   Department of Internal Medicine II—Cardiology, University Medical Center Regensburg, Regensburg, Germany
,
Christof Schmid
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
,
Leopold Rupprecht 
1   Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany
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Abstract

Objectives Treatment of destructive endocarditis with abscess formation is a surgical challenge and associated with significant morbidity and mortality. A root replacement is often performed in case of an annular abscess. This retrospective study was designed to assess the long-term outcome of extensive debridement and patch reconstruction as an alternative approach.

Methods Between November 2007 and November 2016, a selected group of 79 patients (29.6% of all surgical endocarditis cases) with native valve endocarditis (NVE, 53.2%) or prosthetic valve endocarditis (PVE, 46.8%) valve endocarditis underwent surgical therapy with extensive annular debridement and patch reconstruction. Their postoperative course, freedom from recurrent endocarditis, and survival at 1, 5, and 7 years were evaluated.

Results About two-thirds of patients were in a stable condition, one-third of patients were in a critical state. The median logistic EuroSCORE I was 17%. Infected tissue was removed, and defect closure was performed, either with autologous pericardium for small defects, or with bovine pericardium for larger defects. Overall, in-hospital mortality was 11.3% (NVE: 9.7%, PVE: 13.2%; p = 0.412). In single valve endocarditis survival at 1, 5, and 7 years was 81, 72, 72%, respectively for NVE, and 80, 57, 57%, respectively for PVE (p = 0.589), whereas in multiple valve endocarditis survival at 1, 5, and 7 years was 82, 82, 82% for NVE, and 61, 61, and 31%, respectively for PVE (p = 0.132). Confirmed late reinfection was very low.

Conclusion Surgical treatment of destructive endocarditis with abscess formation using patch repair techniques offers acceptable early and long-term results. The relapse rate was low. PVE and involvement of multiple valves were associated with worse outcomes.

Keywords

endocarditis - patch repair - survival - recurrence

Author Contribution

J.L. contributed toward conceptualization, data curation, formal analysis, investigation, project administration, methodology, and writing—original draft. C.Z. contributed toward writing—original draft and review and editing. B.F., A.H., D.C., C.S., and C.Sc. contributed toward writing—review and editing. L.R. contributed toward conceptualization, methodology, supervision, writing—original draft, review, and editing.




Publication History

Received: 27 July 2020

Accepted: 02 November 2020

Article published online:
31 December 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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