Comparison of outcomes in patients with active infective endocarditis with versus without paravalvular abscess and with and without valve replacement

Am J Cardiol. 2004 Jul 1;94(1):136-7. doi: 10.1016/j.amjcard.2004.03.047.

Abstract

In 82 patients with infective endocarditis, including 11 with a perivalvular abscess detected by transesophageal echocardiography, age was a significant predictor of in-hospital mortality (p <0.001). At 3.8-year follow-up, 5 of 7 patients with an abscess who had valve replacement and 2 of 4 patients with an abscess who did not have surgery survived (p = NS); 13 of 22 patients (59%) with no abscess who had valve replacement and 20 of 49 patients (41%) with no abscess who did not have surgery survived (p = NS).

Publication types

  • Comparative Study

MeSH terms

  • Abscess / complications
  • Abscess / diagnostic imaging
  • Abscess / microbiology
  • Abscess / mortality*
  • Abscess / therapy
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / diagnostic imaging
  • Endocarditis, Bacterial / microbiology
  • Endocarditis, Bacterial / mortality*
  • Endocarditis, Bacterial / therapy
  • Female
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / microbiology
  • Heart Valve Diseases / mortality*
  • Heart Valve Diseases / therapy
  • Heart Valve Prosthesis
  • Hospital Mortality
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • New York
  • Prosthesis-Related Infections / complications
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / mortality*
  • Prosthesis-Related Infections / therapy
  • Survival Analysis
  • Treatment Outcome