Surgical treatment for congenital heart disease complicated with infective endocarditis

• Main Authors: PAN Wencheng, WANG Xuefeng, WANG Wei, XIAO Yingbin, WANG Yong
• Format: Article
• Language: zho
• Published: Editorial Office of Journal of Third Military Medical University 2021-01-01
• Series: Di-san junyi daxue xuebao
• Subjects: congenital heart disease; endocarditis; cardiac surgery
• Online Access: https://aammt.tmmu.edu.cn/Upload/rhtml/202007235.htm

Objective To summarize the clinical characteristics and surgical treatment experience of congenital heart disease complicated with infective endocarditis. Methods The clinical data including perioperative management and surgical approaches of 83 cases of congenital heart disease with active infective endocarditis admitted to the Department of Cardiovascular Surgery of our hospital between January 2015 and December 2019 were collected and retrospectively analyzed. Results Among the 83 patients enrolled, early postoperative death occurred in 2 cases, with an in-hospital mortality rate of 2.4%, 2 cases were discharged voluntarily due to abandonment by their family member, and the remaining 79 patients recovered well. The 2 most common postoperative complications were heart failure (16.9%) and grade Ⅲ atrioventricular block (8.4%). During the follow-up of 3 months to 5 years, residual shunt occurred in 4 cases, with 2 of them being confirmed closed spontaneously, and peak prosthetic velocity and mean gradient increase occurred in 6 cases. No endocarditis recurred and none of the above so far needed surgical reintervention. Conclusion Early detection and standard anti-infection treatment, multidisciplinary team cooperation, appropriate timing of surgery, and retinal surgical procedure are the key factors to achieve good clinical efficacy.