Aorto-mitral curtain reconstruction in invasive double-valve endocarditis: mid-term outcomes
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F23%3A10466215" target="_blank" >RIV/00179906:_____/23:10466215 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11150/23:10466215
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=xiDPEl9oK~" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=xiDPEl9oK~</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3389/fcvm.2023.1154129" target="_blank" >10.3389/fcvm.2023.1154129</a>
Alternative languages
Result language
angličtina
Original language name
Aorto-mitral curtain reconstruction in invasive double-valve endocarditis: mid-term outcomes
Original language description
Background: Invasive double-valve endocarditis with structural damage (abscess or perforation) of the aorto-mitral curtain is a relatively rare but fatal diagnosis requiring complex surgical reconstruction. This study presents the short-term and mid-term outcomes from a single center.Methods: From 2014 to 2021, 20 patients with double-valve endocarditis with structural damage of the aorto-mitral curtain underwent surgical reconstruction (Hemi-Commando procedure n = 16 and Commando procedure n = 4). Data were obtained retrospectively.Results: In 13 cases, the procedure was a reoperation. The mean cardiopulmonary bypass time was 239 +/- 47 min and the mean cross-clamp time was 186 +/- 32 min. Concomitant procedures were tricuspid valve repair in two, coronary revascularization in one, closure of a ventricular septal defect in one and hemiarch (using circulatory arrest) in one patient. Eleven patients (55%) required surgical revision for bleeding. Thirty-day mortality was 30% (6 patients)-3 patients from the Hemi-Commando group (19%) and 3 patients from the Commando group (75%). Overall survival at 1, 3 and 5 years was 60%, 50% and 45% respectively. Reoperation was required by 4 patients. Freedom from reoperation at 1, 3 and 5 years was 86%, 71% and 71% respectively.Conclusion: Despite the high postoperative morbidity and mortality, complex surgical reconstruction of the aorto-mitral continuity of patients with double-valve endocarditis represents the only real chance for survival. Mid-term outcomes are acceptable, but strict follow-up is required due to the risk of valve failure.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Frontiers in Cardiovascular Medicine
ISSN
2297-055X
e-ISSN
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Volume of the periodical
10
Issue of the periodical within the volume
MAY
Country of publishing house
CH - SWITZERLAND
Number of pages
9
Pages from-to
1154129
UT code for WoS article
000993554200001
EID of the result in the Scopus database
2-s2.0-85159958451