L'ENDOCARDITE PROTESICA: UNA GRAVE COMPLICANZA IN CARDIOCHIRURGIA

Translated title of the contribution: Prosthetic valve endocarditis: Severe complication in heart surgery

F. Alajmo, M. Cassai, G. Vaccari, G. Calamai, M. Vaccari

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Fifteen patients, aged 24 to 80, underwent surgery for prosthetic valve endocarditis (PVE). Early PVE was present in 7 patients, late PVE in 8 patients. Predisposing factors in early PVE were: urinary tract infections in 2 cases, permanent pacemakers in 2 cases, dental surgery in one case. In 7 cases responsible germs were identified: in 6 patients staphylococci were seen. In 7 patients surgical indication was urgent; in 7 cases infection was active at surgery. Hospital mortality was 4 cases (26.67%). The cause of death was septic shock in 2 cases, low output in one case, electromechanical dissociation in one case. No late death was observed, at 51-month mean follow-up. In conclusion, we believe that surgery must be performed promptly in PVE, whenever indicated, without any delay in observing the effects of antibiotic therapy.

Translated title of the contributionProsthetic valve endocarditis: Severe complication in heart surgery
Original languageItalian
Title of host publicationCuore
Pages561-568
Number of pages8
Volume10
Edition6
Publication statusPublished - 1993

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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