Screening for coronary artery disease in early surgical treatment of acute aortic valve infective endocarditis.

ABSTRACT:

Objectives

In patients with unknown coronary status undergoing surgery for acute infective endocarditis (IE), the need to screen for coronary artery disease (CAD) and the risk of embolization during invasive coronary angiography (ICA) are debated. Coronary computed tomography angiography (CCTA) is a non-invasive alternative in these patients. We aimed to evaluate the safety and feasibility of ICA and CCTA to diagnose CAD, and the necessity to treat CAD to prevent CAD-related postoperative complications.

Methods

In this single-centre retrospective cohort study, all patients with acute aortic IE between 2009 and 2019 undergoing surgery were selected. Outcomes were any clinically evident embolization after preoperative ICA, in-hospital mortality, perioperative myocardial infarc

SUBMITTER: Knol WG 

PROVIDER: S-EPMC8906775 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature