Surgical treatment of XXXX (18 years experience).

@entity1 @entity712 @entity299 @entity340 @entity884
BACKGROUND: @entity884 morbidity remains high: 3 to 8 cases per 100,000 of population. Antibiotic therapy is ineffective. Its surgical treatment experience is relatively limited. AIM: To share the surgical treatment experience of 855 @entity1 with @entity340 ( @entity340 ) treated during 1982 to 2000 in the Institute of Cardiovascular Surgery AMS, Ukraine. MATERIALS AND METHODS: 855 (75.4%) of 1128 hospitalized @entity1 with @entity340 were operated upon. Surgical interventions included removal of diseased tissues, heart chambers treatment with antiseptic solutions, wash out with normal saline solution, replacement or plastic procedure of valves. RESULTS: Heart abscesses were found in 132 (15.5%) @entity1 . Hospital mortality was after aortic valve replacement 12.6%; mitral valve replacement 9.7%; plastic procedure on mitral valve 0%; aortic and mitral valve replacement 30%; tricuspid valve replacement 15.4%; and plastic procedure on tricuspid valve 6.1%. Recurrences of infective process occurred in 51 (6.0%) @entity1 . Infections were observed more frequently in @entity1 with @entity299 : 10.6% versus 5.7% (p < 0.02). RESULTS: 716 (96.7%) @entity1 were studied 2 to 194 (87.4+/-39.4) months postoperatively. Tenth year postoperative survival was 62.1+/-27.7% including hospital mortality. CONCLUSIONS: (1) @entity340 has become one of the most frequent causes of acquired @entity299 in the postChernobyl nuclear power station catastrophe era. (2) @entity712 development in postoperative period is stipulated by the disease duration. (3) Presence of @entity299 favors recurrence of development of @entity884 . (4) Postoperative antibiotic therapy for more than 3 weeks does not help in prevention of recurrences.
