By Henryk Siniawski
Active infective endocarditis is among the so much critical ailments of the guts. an infection frequently factors periannular abscess, and should additionally unfold to impact the mitral valve buildings. This review of the result of surgical operation of energetic infective endocarditis was once played on the German center Institute Berlin. It makes a speciality of preoperative research and proposes a brand new class of this endocarditic disease.
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Additional resources for Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
8%) preoperatively suffering from shock. Eight patients (suffering from left heart failure or shock) had to be mechanically ventilated because of respiratory failure. Thirty-nine patients were hemodynamically stable but suffered from fever, sweating and weakness. In 12 out of the 91 patients fever did not occur. 8 Table 2. Preoperative clinical characteristics of patients suffering from active infective aortic valve endocarditis with root abscess Clinical features in patients suffering from AIE with aortic root abscess The clinical characteristics of the 91 studied patients according to classical symptoms are shown in Table 2.
Stentless valve implants in aortic root abscess surgery demonstrate short-term results similar to those of homografts. 9. Multivariate analysis revealed the following predisposing factors for mortality: a) Female gender b) Early phase of abscess (closed cavity without signs of soluble content) c) Septic shock (norepinephrine use) d) Poor LV function. 48 REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Osler W. The Gulstonian lectures on malignant endocarditis. BMJ 1885;I:467470,522-526, 577-579.
Cla. Other Figure 23. 7%) of 91 patients suffering from root abscess. S. = Staph. aureus, Str. = Streptococci, Ps. = Pseudomonas, E. = Escherichia coli, Cla. = Clamydia, Other = Fungal infections Medical treatment of studied patients before surgery The patients were treated medically before being referred to our institution. 8%) the duration of treatment could be established (Table 8). 2 Table 8. Duration of in-hospital treatment of 79 (86%) out of 91 patients with root abscess Before admission for surgery the patients were treated with antibiotics in accordance with the results of blood cultures.