Table of Contents
ISRN Cardiology
Volume 2011, Article ID 492543, 6 pages
http://dx.doi.org/10.5402/2011/492543
Clinical Study

Surgical Treatment in Active Infective Endocarditis: Results of a Four-Year Experience

1Dipartimento Area Critica, Università di Firenze, 50134 Firenze, Italy
2Dipartimento Cardiochirurgia, AOU Careggi, 50134 Firenze, Italy
3Dipartimento Cardioanestesia, AOU Careggi, 50134 Firenze, Italy

Received 13 February 2011; Accepted 30 March 2011

Academic Editors: L. H. Ling and A. H. Zwinderman

Copyright © 2011 Carlo Rostagno et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Aim of present investigation was to analyze survival and recurrence rate in patients with active endocarditis referred to our centre for surgical treatment. Methods. 80 consecutive patients with active infective endocarditis (52 males, 28 females, mean age 59.2 years) were referred to our institution for surgical treatment. 78 patients underwent surgery, and 2 patients died before intervention. Results. Fifty patients had native valve endocarditis, 30 prosthetic valve involvement. Hospital mortality has been 10.2%. Three discharged patients (4.9%) died at an average 18-month followup. Endocarditis recurred in 4 (2 being S. aureus prosthetic tricuspid endocarditis in drug addicts). All patients who underwent valve repair or homograft implant were alive and free of recurrence. Conclusions. Our results suggest that with proper surgical treatment patients with active endocarditis discharged alive from hospital have a survival >90% at 18 months with a low recurrence rate.