Surgical treatment of multi-valve heart disease of infective endocarditis

Aim: Peculiarities of diagnosis and results of surgical treatment of multi-valve heart disease in infective endocarditis.

Material and Methods: Analyze data and clinical results operated 156 patients with infectiveendocarditis, ofwhich 85 were men (56.5%), and women -71 (45.5%). Age Our patients ranged from 12 to 68 (mean 32.76 ± 1.6) years. Diagnosis was based on the classification and criteria Durack D.T. The patients were divided into 2 groups: group 1, 89 (57.4%) patients who underwent a complex developed by the authors of antibiotic therapy, treatment and preventive measures. 2-group 67 (42.6%) patients who underwent the traditional surgical treatment scheme.

Results: The diagnosis used: electrocardiography (ECG), X-rays from Skopje, transthoracic echocardiography (TTEHOKG) – all patients, transesophageal echocardiography (TEHOKG) – at 40.5%; coronaroventriculography (CVG) and angiocardiography (ACG) – at 12.65%; blood culture study in 38.6% of patients, with light gistrology electron microscopy (LEM) – in 47.5% of patients.Intraoperative treatment – preventive measures (TPM) were as follows; mechanical and chemical sanitation of the infected area of the heart; valve implantation antibakteriyalnymi properties; hyperthermic perfusion; anti microbial therapy, including anti-fungal agents.

Conclusion: Application of the above measures could reduce mortality in the study group and 5.1% in the control group – 9.3%. In dynamics, declined to 3.9% in the last Godi mortality in the study group.