[Endocarditis caused by heart valve prosthesis. Apropos of 35 cases].
35 cases of prosthetic valve endocarditis are reported. The diagnostic is based on clinical, echocardiographic, bacteriological and anatomical aspects. Heart failure, neurologic complications, positive culture of prosthesis, Staphylococcus aureus infection and perivalvular abscess are factors of a bad prognosis. The current therapeutic trends associate antibiotic treatment and infected prosthetic valve replacement rather for hemodynamic indications than bacteriological factors. General prognosis has a mortality of 40 p. cent. Prophylaxis of infection, although simple is necessary.
Papola
P
P
Service de Cardiologie A et B, CHU Nancy Brabois, Vandoeuvre.
Voiriot
P
P
Danchin
N
N
Cherrier
F
F
Villemot
J P
JP
Mathieu
P
P
Canton
P
P
Dureux
J B
JB
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors
D000900:Anti-Bacterial Agents
Endocardites sur prothèse valvulaire. A propos de 35 observations.