Title Intraveninių narkomanų triburio vožtuvo izoliuoto infekcinio endokardito chirurginio gydymo patirtis /
Translation of Title The experience of surgery for isolated tricuspid valve infective endocarditis in intravenous drug abusers.
Authors Džiugas, Gediminas ; Ručinskas, Kęstutis ; Semėnienė, Palmyra ; Džiugienė, Karolina ; Grebelis, Arimantas ; Sirvydis, Vytautas-Jonas
DOI 10.15388/LietChirur.2010.3.2107
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Is Part of Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2010, t. 8, nr. 3, p. 147-152.. ISSN 1392-0995
Keywords [eng] Tricuspid valve ; Intravenous drug abusers ; Infective endocarditis ; Tricuspid valve reconstruction ; Tricuspid valve replacement
Abstract [eng] Objective. Tricuspid valve infective endocarditis usually affects intravenous drug users. At least 5% of patients with tricuspid valve infective endocarditis have to be treated surgically. Few data exist on surgery for the isolated tricuspid valve infective endocarditis in intravenous drug abusers, and there is no such data in Lithuania. This study summarizes our experience in a surgical treatment of isolated tricuspid valve infective endocarditis in intravenous drug users. Patients and methods. This is a retrospective analysis of 18 patients operated on for isolated tricuspid valve infective endocarditis in our centre in 2000–2010. All the patients were intravenous drug abusers. Results. There were no perioperative deaths. Early complications were observed only in the tricuspid valve replacement group (4/14), but there was no significant difference (p = 0.225) was compared to the reconstruction group. There was a longer hospitalization period (27.7 ± 14.5 d) for tricuspid valve replacement than for tricuspid valve reconstruction (18.7 ± 15.1 d.). Eight patients had late complications, of them seven had undergone initial tricuspid valve replacement and one – reconstruction. Four patients had recurrent endocarditis. Late mortality was in 4 (22 %) patients. Conclusion. For some intravenous drug abusers, tricuspid valve surgery for tricuspid valve infective endocarditis is the only effective treatment. Tricuspid valve replacement with biological prosthesis for intravenous drug abusers is associated with numerous early and late postoperative complications. Tricuspid valve reconstruction is a safe method of treatment in the early postoperative period.
Published Vilnius : Lietuvos chirurgų asociacija
Type Journal article
Language Lithuanian
Publication date 2010
CC license CC license description