[Surgical treatment of infective endocarditis].
OBJECTIVE
To summarize the experience of surgical treatment of infective endocarditis in 28 patients.


METHODS
Open heart surgery under cardiopulmonary bypass was performed in all patients: valve replacement (24), VSD repair and tricuspid annuloplasty (3), and Bentall (1) 17 mechanical and 7 homograft valves were placed.


RESULTS
Two died in hospital, 4 died from infection, 1 had periprosthetic leakage and incompetence respectively. 22 survivors showed improved heart function.


CONCLUSIONS
Combined medication and surgical treatment is superior to antibiotic treatment in long-term survival and convalescence. Infective reccurrence, reinfection and advanced heart failure are major risk factors after operation.
Xu
S
S
Department of Cardiovascular Surgery, First Clinical Medical College, Xi'an Medical University, Xi'an 710061.
Li
Z
Z
Huang
Q
Q
Geng
X
X
Sun
L
L
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D004699:Endocardium / Q000187:drug effects / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium; D015996:Survival Rate
D000900:Anti-Bacterial Agents