Tratamiento quirúrgico de la endocarditis infecciosa en un hospital general: Indicaciones y morbimortalidad.

Objectives: To describe the indications for surgical management of infective endocarditis (IE), timing of surgical intervention, type of surgery and post-operative morbi-mortality. Methods: Retrospective study that enrolled patients with IE following Duke´s criteria that did not respond to medical treatment, with indications for surgical management based on an evaluation by cardiothoracic specialists of Hospital Nacional Cayetano Heredia from January 2008 to December 2013. Clinical charts were reviewed in search for indications for surgical management of IE, timing of surgical intervention, type of surgery and post-operative morbi-mortality. Results: A total of 27 patients were diagnosed with IE during the study period; 40.7% had indications for surgical intervention due to risk of embolization; 70.37% for heart failure not responding to medical treatment and 51.85% for uncontrolled infection; 77.78% had indication for urgent intervention and 22.2% of emergency intervention. A total of 25.93% were surgically intervened; 6 patients underwent valve exchange. One patient died after surgery and 3-presented post-surgical complications. Conclusions: The most frequent reason for surgical intervention was risk of embolism, the mitral valve was the most affected and valve exchange was the most common procedure performed. Postoperative mortality was 14.28%, post-surgical bleeding and coagulopathy were the most frequent post-operative complications. [ABSTRACT FROM AUTHOR]