@article{ACS16646,
author = {Carolyn Weber and Asmae Gassa and Kaveh Eghbalzadeh and Julia Merkle and Ilija Djordjevic and Johanna Maier and Anton Sabashnikov and Antje-Christin Deppe and Elmar W. Kuhn and Parwis B. Rahmanian and Oliver J. Liakopoulos and Thorsten Wahlers},
title = {Characteristics and outcomes of patients with right-sided endocarditis undergoing cardiac surgery},
journal = {Annals of Cardiothoracic Surgery},
volume = {8},
number = {6},
year = {2019},
keywords = {},
abstract = {Background: There has been an increasing incidence of right-sided infective endocarditis (RSIE) due to the global rise of intravenous drug use (IVDU) and an increasing number of implantable cardiac electronic devices and central venous catheters. Our aim was to investigate differences in the clinical presentation, microbiological findings and prognosis of patients undergoing surgery for RSIE compared to left-sided infective endocarditis (LSIE).
Methods: Relevant clinical data of all 432 consecutive patients undergoing valve surgery for infective endocarditis (IE) at our institution between January 2009 and December 2018 were retrospectively analyzed. Acquired data included patients’ demographic and preoperative comorbidities, manifestation of IE according to the recently modified Duke Criteria, perioperative data and relevant clinical outcomes.
Results: A total of 403 patients (93.3%) underwent surgery for LSIE and twenty-nine patients (6.7%) for RSIE. Eleven patients with RSIE (37.9%) showed a concomitant left-sided infection. Compared to LSIE, RSIE patients were significantly younger [47.5 (40.4–69.3) vs. 65.1 (53.7–74.6); P=0.008] and presented with less comorbidities such as hypertension (41.4% vs. 65.3%; P=0.010) and coronary artery disease (6.9% vs. 29.0%; P=0.010). Rates of IVDU (34.5% vs. 4.5%; P},
issn = {2304-1021}, url = {https://www.annalscts.com/article/view/16646}
}