[Surgical treatment of infective endocarditis].
Nineteen patients with infective endocarditis underwent surgery. Congenital heart disease was found in 6 patients, valve disease in 13. Seven patients had history of rheumatism. Congestive heart failure was noted in 17 patients, arterial embolism in 3, and pulmonary infarction in 1. Blood culture was positive in 36.8%, while vegetations were detected echocardiographically in 58.8% of the patients. Selective surgery was performed in 17 patients and emergency operation in the rest two. There was no operative death. Follow-up for 3-109 months after operation showed no evidence of recurrent endocarditis. We suggest that early surgical treatment is mandatory for intractable infective endocarditis if excellent result is expected.
Zhu
H S
HS
Renji Hospital, Shanghai Second Medical University.
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery*; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged