Reconstructive valve surgery within 10 days of stroke in endocarditis

• DOI: 10.1177/0218492316652746
• Publication Date: 2016-05-27T01:43:07Z
• Authors: Jai Raman; Apoorva Ballal; Bala Hota; Sara Mirza; David Lai; Thomas Bleck; Omar Lateef
• Keywords: Stroke; Reconstructive Surgery

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