[Value of echocardiography in the preoperative diagnosis of acute bacterial endocarditis].
Open-heart surgery was performed in 26 of 56 patients with acute bacterial endocarditis seen in three years. Non-controllable infection, cardiac failure or embolism were the indications for operation. In all instances pre-operative invasive angiographic diagnosis was dispensed with, indications being based entirely upon clinical findings plus the results of M-mode or cross-sectional echocardiography. In 22 of the 26 patients the pre-operative echocardiographic diagnosis coincided with the intra-operative one. In the other four patients the pre-operative echocardiographic findings were incomplete, but no surgically important information had been missed.
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000150:complications; D004452:Echocardiography; D004698:Endocarditis, Subacute Bacterial / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013290:Streptococcal Infections / Q000175:diagnosis*; D014262:Tricuspid Valve Insufficiency / Q000150:complications
Stellenwert der Echokardiographie in der präoperativen Diagnostik der akuten bakteriellen Endokarditis.