By Henryk Siniawski
Active infective endocarditis is among the so much critical illnesses of the center. an infection usually explanations periannular abscess, and will additionally unfold to impact the mitral valve buildings. This evaluation of the result of surgery of lively infective endocarditis used to be played on the German center Institute Berlin. It makes a speciality of preoperative research and proposes a brand new type 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
47 CONCLUSIONS 1. Aortic root abscess is a very common complication of active infective endocarditis. 4% of 192 patients referred for surgery at the Deutsches Herzzentrum Berlin. 2. 4%, ranging between 6 and 50%, and was influenced by advanced abscess extension, abscess development and associated involvement of the mitral valve. 3. Echocardiography is the most valuable method in the assessment of patients suffering from aortic valve AIE. 9%, respectively. 4. Infection extension into the mitral valve was found in 34% of patients suffering from aortic root abscess.
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.
Assessment of small-diameter aortic mechanical prostheses. Physiological relevance of the Doppler gradient, utility of flow augmentation, and limitations of orifice area estimation. Circulation 1998;9:866-872. 22. Facklam R. What happened to the streptococci: Overview of taxonomic and nomenclature changes. Clin Microbiol Rev 2002;15:613-630. 23. Haddadin AS, Fappiano SA, Lipsett PA. Methicillin resistant Staphylococcus aureus (MRSA) in the intensive care unit. Postgrad Med J 2002;78:385-392. 24.
Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical Treatment by Henryk Siniawski