Read e-book online Active Infective Aortic Valve Endocarditis with Infection PDF
By Henryk Siniawski
Active infective endocarditis is likely one of the such a lot severe illnesses of the guts. an infection frequently explanations periannular abscess, and should additionally unfold to impact the mitral valve constructions. This evaluate of the result of surgery of energetic infective endocarditis used to be played on the German middle Institute Berlin. It makes a speciality of preoperative research and proposes a brand new category 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
In 21 patients a stentless Shelhigh No-React valve was used. The Benthall coronary reimplantation procedure for valved composite graft replacement of the aortic root was used in all cases. All affected areas in all cases were washed with peridone iodine solution (betadine). In all cases the surgeon provided information on the intraoperative findings and this was compared with the echocardiographic diagnosis. Surgical diagnosis of ring abscess was based on the intraoperative presence of paravalvular infiltration or a cavity with fluctuation or a cavity opened to the circulation or other destructive forms of endocarditis.
Tissue metastatic MVD b. 1 Table 16. Infection and destruction of the mitral valve secondary to primary aortic valve AIE listed according to the path of infection extension. MV = mitral valve, MVD = mitral valve disease n Type of SMVD 31 1. Tissue metastatic 13 2. 9) 2 2 Table 17. Types of lesion on mitral valve in patients suffering from secondary infective mitral valve disease (SMVD) with primary aortic valve AIE with root abscess and type of mitral valve surgery undertaken 35 (replacement or reconstruction).
Echocardiographic characteristics of 18 patients out of 91 suffering from root abscess complicated by vasoactive (septic) shock. AR = aortic regurgitation, MR = mitral regurgitation In the group of patients suffering from septic shock (n=18) there were no significant differences in surgical outcome in terms of preoperative LV function or valve incompetence. 33 No Generic name Staph. aureus Streptoccoci Enteroccoci E. coli Pseudom. aur. Survivors n 1 4 2 3 1 Non-survivors n % 3 43 4 57 - % 9 36 18 27 9 Table 12.
Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment by Henryk Siniawski