دورية أكاديمية
Mid-term outcomes following the Hemi-Commando procedure for complex infective endocarditis involving the aortomitral junction
| العنوان: | Mid-term outcomes following the Hemi-Commando procedure for complex infective endocarditis involving the aortomitral junction |
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| المؤلفون: | Marin-Cuartas, Mateo, De La Cuesta, Manuela, Davierwala, Piroze M, Kang, Jagdip, Stöger, Guillermo, Misfeld, Martin, Kiefer, Philipp, Leontyev, Sergey, Verevkin, Alexander, Pfanmüller, Bettina, Saaed, Diyar, Borger, Michael A, Noack, Thilo |
| المصدر: | European Journal of Cardio-Thoracic Surgery ; volume 64, issue 1 ; ISSN 1873-734X |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Cardiology and Cardiovascular Medicine, Pulmonary and Respiratory Medicine, General Medicine, Surgery |
| الوصف: | OBJECTIVES Perivalvular abscesses with destruction of the aortomitral junction (AMJ) are a severe complication of infective endocarditis (IE) and are associated with high mortality and complex management. The Hemi-Commando procedure is a mitral valve-sparing alternative to the Commando procedure in suitable patients with complex IE and paravalvular destruction. This study reviews the mid-term outcomes in patients undergoing the Hemi-Commando procedure for treating IE with destruction of the AMJ. METHODS The clinical outcomes of patients with IE and AMJ involvement who underwent the Hemi-Commando procedure between 2015 and 2021 at the Leipzig Heart Center were retrospectively analysed. Primary outcomes were 30-day mortality and 1-year survival. Secondary outcome was 1-year freedom from reoperation. RESULTS A total of 22 patients underwent the Hemi-Commando procedure during the study period. The patients’ mean age was 59.8 ± 18.3 years. The study population was predominantly male (86.4%). Preoperative sepsis was present in 6 (27.3%) patients, and the median EuroSCORE II was 28.5%. Almost two-thirds (N = 14; 63.6%) of the patients presented with native IE. Streptococci were the most common pathogens (N = 8; 36.4%). Paravalvular abscess was found intraoperatively in 16 (72.7%) patients. The 30-day mortality was 13.6%. The estimated 1- and 3-year survival rates were 77.5% and 66.4%, respectively. The estimated freedom from reoperation at 1 and 3 years was 92.3%. CONCLUSIONS The Hemi-Commando procedure offers an acceptable mid-term survival chance with low reoperation rates and is, therefore, a reasonable mitral valve-sparing alternative to the Commando procedure in suitable patients with extensive IE and perivalvular involvement. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/ejcts/ezad208 |
| DOI: | 10.1093/ejcts/ezad208/50453063/ezad208.pdf |
| الإتاحة: | https://doi.org/10.1093/ejcts/ezad208Test https://academic.oup.com/ejcts/article-pdf/64/1/ezad208/50839777/ezad208.pdfTest |
| حقوق: | https://academic.oup.com/pages/standard-publication-reuse-rightsTest |
| رقم الانضمام: | edsbas.B7E64880 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ejcts/ezad208 |
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