Kengo Teshima
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, JapanPublications
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Research Article
Preoperative Heart Failure Influences Cardiac Functional Outcome in Patients with Prosthetic Valve Endocarditis
Author(s): Manabu Shiraishi*, Shigeto Tokunaga, Kengo Teshima, Hiroki Arai, Naoyuki Kimura and Atsushi Yamaguchi
Background: Heart Failure (HF) is an indication for surgical intervention in cases of Prosthetic Valve Endocarditis (PVE). We reviewed outcomes of redo surgery for PVE to evaluate the influence of preoperative HF on late-phase postoperative cardiac function. Methods: Nineteen patients underwent redo surgery for PVE. The patients were divided into 2 groups according to the presence or absence of acute preoperative heart failure (HF group vs. non-HF group). Results: We found that time from diagnosis of PVE to the redo surgery was significantly shorter and postoperative hospital stay was significantly longer for the HF group patients. In the non-HF group, changes in key echocardiographic variables from the preoperative to late postoperative period were as follows: left ventricular end-diastol.. Read More»