[Surgery of infectious endocarditis].
Thirty to fifty percent of patients with infective endocarditis are operated on during the active phase of the disease; this percentage is higher in case of some valvular localizations (aortic), in case of early prosthetic valve endocarditis, in case of some microorganisms (Staphylococcus aureus, gram-negative, fungus, intracellular microorganism). Operative death (at 30 days) is below 10% in native valve endocarditis, close to 50% in early prosthetic valve endocarditis, and below 20% in late prosthetic valve endocarditis. When active infective disease has been healed by medical treatment alone, half the patients need surgery in the first 2 years of follow-up; the indications for surgery are the functional status, the degree of valvular leaks and other lesions, the degree of ventricular dilatation.
Gandjbakhch
I
I
Service de chirurgie cardio-thoracique et vasculaire, Groupe hospitalier La Pitié-La Salpêtrière, Paris.
Jault
F
F
D001021:Aortic Valve / Q000601:surgery; D002423:Cause of Death; D004108:Dilatation, Pathologic / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000601:surgery; D006321:Heart / Q000503:physiopathology; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects / Q000382:microbiology; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D009181:Mycoses / Q000601:surgery; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000601:surgery; D013203:Staphylococcal Infections / Q000601:surgery; D015996:Survival Rate
Chirurgie des endocardites infectieuses.