INTRODUCTION: In this study we evaluated factors that affect the early and long-term postoperative outcomes of @entity1 with @entity884 . METHODS: We retrospectively reviewed 94 @entity1 (68 male, 26 female, mean age 58.3    13.1 years, range 20-85 years) with proven infective native (n=85) or prosthetic valve (n=9) @entity884 who underwent heart valve surgery between September 1997 and December 2007. Fifty-four @entity1 (57.4%) underwent aortic, 28 (29.8%) mitral, 3 (3.2%) tricuspid, 8 (8.5%) double, and one @entity1 (1%) triple valve surgery. In 75.5% of the procedures we implanted mechanical valves, in 13.8% biological prostheses, and 10.7% were reconstructive or other procedures. Midterm follow up was 100% complete with a cumulative duration of 545 @entity1 -years (maximum 12 years). RESULTS: Overall hospital mortality (30 days) was 8.5% (n=8). Causes of early mortality were @entity998 in 2 cases, @entity295 with @entity881 in 5 cases, and @entity1779 in one @entity1 . Development of postoperative @entity998 (p=0.01) was identified as an independent predictor of early mortality. Overall late mortality was 25.6% (n=22) with a cumulative rate of 4.03% per @entity1 -year. Causes of late @entity204 were predominantly of extracardiac origin. Kaplan-Meier survival analysis revealed a cumulative survival rate at 12 years of 57.2%. Cox regression analysis identified @entity6 (p=0.016) and postoperative @entity998 (p=0.03) as independent late mortality factors. CONCLUSIONS: Heart valve surgery in @entity1 with @entity884 is associated with increased but acceptable early and long-term mortality. The mid-term prognosis is similar to that of @entity1 undergoing elective valve replacement surgery.

Surgical Management of XXXX : Early and Long-Term Mortality Analysis. SingleCenter Experience and Brief Literature Review.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity998 :: ('MESH:D002303', 'Disease') :: ['low cardiac output syndrome'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multiple organ failure'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['intracerebral bleeding'] @entity884 :: ('MESH:D004696', 'Disease') :: ['infective endocarditis', 'endocarditis']
@entity884 :: (MESH:D004696,Disease) :: ['Infective Endocarditis']
