| dc.creator | Zalaquett S,Ricardo | |
| dc.creator | Garrido O,Luis | |
| dc.creator | Casas R,Francisca | |
| dc.creator | Morán V,Sergio | |
| dc.creator | Irarrázaval Ll,Manuel J | |
| dc.creator | Becker R,Pedro | |
| dc.creator | Braun J,Sandra | |
| dc.creator | Córdova A,Samuel | |
| dc.creator | Chamorro S,Gastón | |
| dc.creator | Godoy J,Iván | |
| dc.creator | Yáñez D,Fernando | |
| dc.creator | Labarca L,Jaime | |
| dc.creator | Pérez C,Carlos | |
| dc.date | 2004-03-01 | |
| dc.date.accessioned | 2019-11-14T12:59:18Z | |
| dc.date.available | 2019-11-14T12:59:18Z | |
| dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300005 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/119402 | |
| dc.description | Background: Valve replacement has been the treatment of choice for patients with valvular complications of infectious endocarditis (IE). However, excellent results with valve repair allowed it to become a new therapeutic alternative for these patients. Aim: To evaluate the results of valve repair in patients with valvular complications of IE. Patients and Methods: From January 1991 to December 2000, 14 patients with valvular complications of IE underwent valve repair. Mean age was 37.9 ± 14.9. Results: New York Heart Association (NYHA) class was 2.8 ± 0.9. IE was located in the aortic in 6 (42%), in the mitral valve in 4 (29%) and in both valves in 4 cases (29%). Surgical indication was hemodynamic in 50% of the cases, echocardiographic in 29% and septic in 21%. Five aortic valves were bicuspid, 3 mitral valves were myxomatous and the rest were normal. The most common septic lesions were vegetations and leaflet perforations. A total of 23 aortic and 21 mitral valve repair procedures were performed. There were no deaths. Only 1 patient had a surgical complication (renal failure and prolonged mechanical ventilation). Follow-up was 100% complete. There was not late mortality. One patient with bone marrow aplasia required reoperation for a new episode of IE 19 months later. At the end of the follow-up NYHA class was 1.3 ± 0.6 and echocardiography showed a mild or absence of valve regurgitation in most patients. Conclusions: Valve repair surgery in IE has good results, with advantages over valve replacement (Rev Méd Chile 2004; 132: 307-15). | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.relation | 10.4067/S0034-98872004000300005 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Revista médica de Chile v.132 n.3 2004 | |
| dc.subject | Cardiovascular surgical procedures | |
| dc.subject | Endocarditis, bacterial | |
| dc.subject | Surgical procedures, operative) | |
| dc.title | Cirugía valvular reparadora en endocarditis infecciosa | |
