Reconstructive valve surgery within 10 days of stroke in endocarditis

Jai Raman*, Apoorva Ballal, Bala Hota, Sara Mirza, David Lai, Thomas P Bleck, Omar Lateef

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background The optimal timing of surgical treatment for infective endocarditis complicated by cerebrovascular events is controversial, largely due to the perceived risk of perioperative intracranial bleeding. Current guidelines suggest waiting 2 weeks between the diagnosis of stroke and surgery. The aim of this study was to investigate the clinical and neurological outcomes of early surgery following a stroke. Methods This was a single-center retrospective analysis of 12 consecutive patients requiring surgery for infective endocarditis between 2011 and 2014 at Rush University Medical Center, with either ischemic (n = 6) and/or hemorrhagic (n = 6) cerebrovascular complications. All underwent computed tomographic angiography prior to early valve reconstructive surgery to identify potentially actionable neurological findings. Early valve surgery was performed for ongoing sepsis or persistent emboli. Neurologic risk and outcome were assessed pre- and postoperatively using the National Institutes of Health Stroke Scale and the Glasgow Outcome Scale, respectively. Results All 12 patients underwent surgical treatment within 10 days of the diagnosis of stroke. Mortality in the immediate postoperative period was 8%. Eleven of the 12 patients exhibited good neurological recovery in the immediate postoperative period, with a Glasgow Outcome Scale score ≥ 3. There was no correlation between duration of cardiopulmonary bypass and neurological outcomes. Conclusion Early cardiac surgery in patients with infective endocarditis and stroke maybe lifesaving with a low neurological risk. Comprehensive neurovascular imaging may help in identifying patient-related risk factors.

Original languageEnglish (US)
Pages (from-to)523-529
Number of pages7
JournalAsian Cardiovascular and Thoracic Annals
Volume24
Issue number6
DOIs
StatePublished - Jul 1 2016

Keywords

  • Cerebral infarction
  • Endocarditis
  • Heart valve diseases
  • Intracranial hemorrhages
  • Stroke
  • Time factors
  • bacterial

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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