By Henryk Siniawski
Active infective endocarditis is likely one of the so much severe illnesses of the guts. an infection usually explanations periannular abscess, and will additionally unfold to impact the mitral valve constructions. This review of the result of surgical procedure of lively 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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Extra info for Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment
This means that the beginning period of the medical treatment was considered satisfactory and only clinical worsening or the development of clear criteria for surgery brought patients to cardiac surgery. 113,114,115,116 Thus, careful follow-up is necessary to find the optimal timing for surgery. Value of echocardiography Patients suffering from AIE are poor candidates for heart catheterization because the risk of mobilizing vegetation can be unpredictable, and coronary revascularization was performed only in cases of essential coronary artery disease.
A 1 2 3 All 1. Infiltration 2. Closed cavity 3. Open cavity EDD EDD pre-op. post-op. 7) p EF(%) pre-op. EF(%) postop. s. s. s. s. s. s. Table 20. LV function in patients divided according to preoperative abscess staging assessed by TEE B 1 2 3 All Localized Circular AV Dehiscence EDD pre-op. 6) EDD post-op. 6) p EF (%) pre-op. EF (%) post-op. s. s. s. s. s. Table 21. LV function in patients divided according to preoperative abscess extension assessed by TEE There was a significant improvement in the LVEDD in all groups, whereas there were no significant changes in EF postoperatively compared to preoperative values (Tables 20, 21).
49. Ferrieri P, Gewitz MH, Gerber MA, Newburger JW, Dajani AS, Shulman ST, Wilson W, Bolger AF, Bayer A, Levison ME, Pallasch TJ, Tommy, Gage W, Taubert KA; Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the American Heart Association Council on Cardiovascular Disease in the Young. Unique features of infective endocarditis in childhood. Circulation 2002;105:2115-2126. 50. Sanders GP, Yeon SB, Grunes J, Seto TB, Manning WJ.
Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment by Henryk Siniawski