title: Surgical reintervention in prosthetic valve endocarditis.
abstract: Early successful conservative treatment and thereafter early surgical intervention on prosthetic-valve-endocarditis may reduced the mortality rate. Therefore, early surgical intervention in native valve endocarditis with perioperative antibiotic treatment in primary valve replacement reduced the incidence of PVE. Soaking of prostheses and suture material with bactericidal antibiotics during the first or second procedures with precise surgical sterility and short perioperative exposure time are successful points which should be taken. Mortality rate decreases from 100 to 60-90% to 10% with combined antibiotic and surgical treatment.
authors.forename: J
authors.initials: J
authors.lastname: von der Emde
authors.forename: G
authors.initials: G
authors.lastname: Rümenapf
mesh_terms: D004697:Endocarditis, Bacterial / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008722:Methods; D011183:Postoperative Complications; D012086:Reoperation