지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 1,253 - 1,259 (7page)
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초록· 키워드
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Purpose: This study was conducted to evaluate the surgical outcomes of active infectiveendocarditis with aortic root abscess formation. Materials and Methods: Between February 1999 and June 2012, 49 patients underwent surgery for active endocarditis with aortic root abscess. The infected valve was native in 29 patients and prosthetic in 20 patients. The patients’ mean age was 50±14 years, and 36 patientswere male. Surgery was urgent/emergent in 15 patients (31%). The abscess involved the aortic annulus (11), left ventricular outflow tract (18), fibrous trigone (16), and mitral annulus (4). In all patients, wide debridement of abscess and aortic valve replacement with or without patch reconstruction of aortic root or annulus was performed. Results: There were 6 (12%) operative deaths. Causes of early mortality were sepsis (2) and multi-organ failure (4). On postoperative echocardiogram,there was significant improvement of left ventricular dimension (LVEDD, from 58.8±11.8 mm to 52.6±8.2 mm, p<0.001); however, LV ejection fraction was significantly decreased (from 61.4±12.0% to 49.8±16.5%, p<0.001). The mean follow-up duration was 68.7±40.4 months. There was no late death or recurrent endocarditis during follow up. New York Heart Association functional class significantlyimproved from 3.2±0.7 to 1.2±0.4 (p<0.001). Kaplan-Meier estimated survivalat 10 years was 87.2%. Conclusion: Surgical treatment for active endocarditiswith aortic root abscess is still challenging, and was associated with high operative mortality. Nevertheless, long-term survival was excellent with good functional capacity after recovery from the early postoperative period.
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참고문헌 (19)
참고문헌 신청
Brecker SJ / 1999 / Aortic root abscess / Heart 82 : 260 ~ 262
Daniel WG / 1991 / Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography / N Engl J Med 324 : 795 ~ 800
David TE / 1995 / Reconstruction of the mitral anulus. A ten-year experience / J Thorac Cardiovasc Surg 110 : 1323 ~ 1332
David TE / 1995 / The surgical treatment of patients with prosthetic valve endocarditis / Semin Thorac Cardiovasc Surg 7 : 47 ~ 53
David TE / 1997 / Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body / J Thorac Cardiovasc Surg 114 : 766 ~ 771
Daniel WG / 1991 / Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography / N Engl J Med 324 : 795 ~ 800
David TE / 1995 / Reconstruction of the mitral anulus. A ten-year experience / J Thorac Cardiovasc Surg 110 : 1323 ~ 1332
David TE / 1995 / The surgical treatment of patients with prosthetic valve endocarditis / Semin Thorac Cardiovasc Surg 7 : 47 ~ 53
David TE / 1997 / Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body / J Thorac Cardiovasc Surg 114 : 766 ~ 771
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