Reintervention for Aortic Prosthesis Endocarditis: Outcomes
Author Information
Author(s): D’Alonzo Michele, Chabry Yuthiline, Melica Giovanna, Gallien Sébastien, Lim Pascal, Aouate David, Huguet Raphaëlle, Galy Adrien, Lepeule Raphaël, Fihman Vincent, Pressiat Claire, Folliguet Thierry, Fiore Antonio, Pavasini Rita
Primary Institution: Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France
Hypothesis
This study aimed to analyze the outcomes and challenges associated with surgical redo procedures following aortic valve replacement for acute infective endocarditis.
Conclusion
Despite high risks, the 5-year survival rate after redo procedures for acute infective endocarditis is relatively acceptable.
Supporting Evidence
- The overall 30-day mortality rate was 18.5%.
- Post-operative ECMO occurred in 9.3% of cases.
- The 5-year overall survival rate was 58.3 ± 18.6%.
- Freedom from major adverse cardiac and cerebrovascular events (MACCEs) was 41.7 ± 19.7%.
Takeaway
This study looked at patients who had surgery for a serious heart infection and found that while many faced risks, some did survive for a long time after the surgery.
Methodology
This was a retrospective, monocentric, observational study analyzing 54 patients who underwent surgical re-operation for infective endocarditis.
Limitations
The study is limited by its single-center design and relatively small sample size.
Participant Demographics
The cohort was predominantly male (79.6%) with an average age of 71.9 years.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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