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University of Nebraska - Lincoln

2010

Endocarditis; Cardiac surgery; Mortality; Morbidity; Outcomes; Veterans

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Surgical Intervention For Infective Endocarditis In A Veteran Population, Lorraine D. Cornwell, Danny Chu, Scott A. Lemaire, Joseph Huh, Shubhada Sansgiry, Joseph S. Coselli, Faisal G. Bakaeen Jan 2010

Surgical Intervention For Infective Endocarditis In A Veteran Population, Lorraine D. Cornwell, Danny Chu, Scott A. Lemaire, Joseph Huh, Shubhada Sansgiry, Joseph S. Coselli, Faisal G. Bakaeen

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Abstract

BACKGROUND: Surgical management of infective endocarditis can be challenging. Veteran patients are unique because they often have significant comorbidities, and surgical management of endocarditis in this population has not been well described.

METHODS: Using a prospective database, 46 consecutive patients who underwent valve surgery for acute infective endocarditis between 1987 and 2009 were identified. Survival was assessed using the Kaplan-Meier method.

RESULTS: All patients were men (mean age, 56±9 years). The most common indication for surgical intervention was congestive heart failure (60%). The aortic valve was the only valve infected in most patients (65%). Operative morbidity …