Immediate and long-term results of surgical interventions for infective endocarditis

Authors: Bockeria L.A., Abdulgasanov R.A., Gasymov E.G., Abdulgasanova M.R.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

UDC: 616.126-089.168
DOI: https://doi.org/10.24022/1810-0694-2022-23-3-295-306

Cite as: Bockeria L.A., Abdulgasanov R.A., Gasymov E.G., Abdulgasanova M.R. Immediate and long-term results of surgical interventions for infective endocarditis. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022; 23 (3): 295–306 (in Russ.). DOI: 10.24022/1810-0694-2022-23-3-295-306

Received / Accepted: 04.04.2022 / 02.06.2022

Keywords: infective endocarditis cardiovascular surgery periannular abscess sepsis

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Abstract

Despite the rapid development of medicine, infective endocarditis (IE) remains a formidable complication associated with high mortality and poor clinical outcomes. Surgical treatment of infective endocarditis with periannular abscess (PA) of aortic valve is a difficult task with high mortality. The purpose of this article is to review modern surgical methods of the treatment of IE with PA based on aortic valve replacement and aortic root reconstruction, taking anatomical features into account. At the moment, there are no complete data in literature regarding the immediate and long-term results of surgical treatment of IE. The overall mortality among patients with IE, calculated during observations in the immediate and long-term period, is 20 and 37%, respectively. The incidence of complications from the cardiovascular system among patients with IE is 39%, septic embolism and renal complications – 25 and 19%, respectively. Regardless of the observation period, mortality and complication rates among patients with IE remain high. Surgical treatment of IE with PA is a complex task. The incidence of complications decreases with the correctly selected surgical tactics with intraoperative assessment of anatomical features.

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About the authors

Leo A. Bockeria, Academician of Russian Academy of Sciences, President; ORCID
Ramiz A. Abdulgasanov, Dr. Med. Sci., Chief Researcher; ORCID
Гасымов Эмиль Гадирович, врач-ординатор; ORCID
Абдулгасанова Мехрибан Рамизовна, врач-соискатель; ORCID

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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