Emergency Surgery for Native Mitral Valve Endocarditis: The Impact of Septic and Cardiogenic Shock

Sandro Gelsomino*, Jos G. Maessen, Frederik van der Veen, Ugolino Livi, Attilio Renzulli, Fabiana Luca, Rocco Carella, Elena Crudeli, Antonio Rubino, Carlo Rostagno, Claudio Russo, Valentino Borghetti, Cesare Beghi, Michele De Bonis, Gian Franco Gensini, Roberto Lorusso

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

40 Citations (Web of Science)


Limited information exists about the real impact of the etiology of shock on early and late outcome after emergency surgery in acute native mitral valve endocarditis (ANMVE). This multicenter study analyzed the impact of the etiology of shock on early and late outcome in patients with ANMVE.Data were collected in eight institutions. Three hundred-seventy-nine ANMVE patients undergoing surgery on an emergency basis between May 1991 and December 2009 were eligible for the study. According to current criteria used for the differential diagnosis of shock, patients were retrospectively assigned to one of three groups: group 1, no shock (n=154), group 2, cardiogenic shock (CS [n=118]), and group 3, septic shock (SS [n=107]). Median follow-up was 69.8 months.Early mortality was significantly higher in patients with SS (p
Original languageEnglish
Pages (from-to)1469-1476
JournalAnnals of Thoracic Surgery
Issue number5
Publication statusPublished - May 2012

Cite this