[Substitution of the aortic value in florid bacterial endocarditis and severe aortic valvular insufficiency (author's transl)].
Urgent operation for replacement of the aortic valve for the correction of a severe, increasing hemodynamic impairment of the output of the heart and for the removal of the septic focus in florid bacterial aortic endocarditis must be carefully thought over. 3 of our own 7 patients died. The indication is to be made largely on hemodynamic grounds when the clinical symptoms are quite clear without preoperative catheter diagnosis. Preliminary specific treatment with antibiotics and intensive follow-up treatment is necessary. Preoperative identification of bacteria in the blood, just like identification of bacteria on the excised valve, is only possible in some of the cases.
D000208:Acute Disease; D000328:Adult; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D004630:Emergencies; D004696:Endocarditis / Q000150:complications*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000150:complications
Aortenklappenersatz bei florider bakterieller Endokarditis und schwerer Aorten-klappeninsuffizienz