Непосредственные и отдаленные результаты хирургического лечения активного инфекционного эндокардита нативных клапанов сердца у наркозависимых пациентов

Objective. The aim of this work is to analyze the immediate and long-term results of surgical treatment of valve infective endocarditis (IE) in drug-dependent patients. Material and methods. A retrospective observational study based on the register of patients operated in A.N. Bakoulev Center of Cardiovascular Surgery from 2000 to 2010. The study included 107 patients with IE that developed against the background of injecting drug users (32 women and 75 men). All patients underwent surgical treatment of valvular heart disease. Three patients died after surgery in hospital and 104 were discharged. Long-term results were evaluated in 73 patients. Results. The average age of the patients included in the study was 28.6 ± 5.4 years. Primary of IE native heart valves was registered in 68.2 % of cases. Hospital mortality in the early postoperative period was 2.8 %. The average time of observation was 6.8 ± 0.48 years. At different periods of observation among 54 patients who continued to inject drugs 27 (50.0 %) died, relapse of IE occurred in 25.9 % of cases (p = 0.01) and reoperation in 35.2 %. Deaths, reoperations, recurrence of IE were not observed among the 19 patients who stopped injecting narcotic drugs after surgery. Conclusion. Long-term results of IE treatment among drug addicts depend on the continuation or termination of the narcotic drug use.