[Surgical treatment of infective endocarditis complicated by aortic and/or mitral valvular perforation].
From February 1980 to July 1987, 27 patients with valvular bacterial endocarditis complicated by aortic and/or mitral valvular perforation and vegetation were operated upon. AVR was performed in 23 cases and double valve replacement was done in 4. There were 3 deaths after operation. Follow-up of 21 patients showed that heart function improved from class III-IV to class I-II. In discussion, the importance of echocardiography in detecting valvular perforation and vegetation and the need of early diagnosis and early surgical intervention are emphasized; especially in patients with intractable heart failure and deteriorating general condition.
Jiang
Z B
ZB
Zhongshan Hospital, Shanghai Medical University.
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000209:etiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D012422:Rupture, Spontaneous