By Henryk Siniawski
Active infective endocarditis is likely one of the such a lot critical ailments of the guts. an infection frequently explanations periannular abscess, and will additionally unfold to impact the mitral valve buildings. This review of the result of surgery of energetic infective endocarditis used to be played on the German middle Institute Berlin. It specializes in preoperative research and proposes a brand new category of this endocarditic disease.
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Additional info for Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
In three patients a fistula to the right atrium was recognized. Endocarditic VSD (ventricular septal defect) was found in two patients. Altogether, in 36 patients anatomical complications were found and these were confirmed intraoperatively by the cardiac surgeon. 7, respectively. VSD and fistula to the right atrium were the main complications which occurred in the third stage of abscess extension. s. for both groups; see Table 23). 99 mm. s). s Table 23. Compared mean and maximal pressure gradients calculated from Doppler Homograft = group of patients with homografts (control group).
37,38 Prosthetic endocarditis is in fact an extension of infection into tissue behind the valve, even when the abscess is not definable by echocardiography. This implies that the development of abscess in prosthetic endocarditis is a matter of time. In all patients studied the abscess was defined in echocardiography preoperatively. Surgical intervention is necessary to treat prosthetic endocarditis. 154 Observation of the medically treated group has only been reported in short-term studies and the analysis does not answer questions about long-term results.
Z Kardiol 1994;83:3137. Chambers J. Should we ever treat the echo rather than the patient? Heart 1999;82:652-653. Mylonakis E, Calderwood S. Infective endocarditis in adults. N Engl J Med 2001;345:1318-1330. Gillnov M, Diaz R, Blackstone EH, Pettersson GB, Sabik JF, Little BW, Cosgrove DM. Double valve endocarditis. Ann Thorac Surg 2001;71:1874-1879. Berlin JA, Abrutyn E, Strom BL et al. Incidence of infective endocarditis in the Delaware Valley, 1988-1990. Am J Cardiol 1995;76:933-936. Sheldon WH, Golden A.
Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment by Henryk Siniawski