Surgery in infective endocarditis

Abstract EN

Backgroun : Early surgery during the active phase of infective endocarditis was considered to carry high morbidity and mortality due to technical difficulties on an inflamed tissues.

Objectives: Is to focus a light on the increasing indications for surgery during the active phase of infective endocarditis which lead to significant drop in the hospital mortality.

Patients and Methods : Eighteen patients with bacterial endocarditis and valvular dysfunction were admitted to Iraqi center for heart diseases during the period from January 2008 -April 2013.

All of them were fully investigated and adequately prepared for open heart surgery.

Result : Seven-teen patients were successfully treated surgically with uneventful post-operative course.

One patient developed another attack of prosthetic valve endocarditis which mandates a redo surgery .Only one patients died two years later.

Conclusion : The indications for surgery and its timing are difficult decisions to take .

Close follow up , collaboration between cardiologist cardiac surgeon and laboratory personnels are mandatory.