[Prosthetic valve endocarditis].
Five patients underwent heart valve replacement with prosthetic valve endocarditis (PVE). The mortality was 5.8% (5/87). The diagnosis of PVE mainly depended on clinical features: consistent fever in 5 patients, embolism in 3, petechias in 2, recurrence of heart murmur in 5, III degrees A-V block in 1, and positive echocardiography findings in 5, but their culture of blood were negative. All the five patients died of embolism, dysfunction of prosthetic valve, and serious heart failure. We emphasize that reoperation may be advisable to the patients.
Chen
P
P
2nd Affiliated Hospital, Jiangxi Medical College, Nanchang.
D000293:Adolescent; D000328:Adult; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000209:etiology*