title: [Surgical treatment of infective endocarditis].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, First Clinical Medical College, Xi'an Medical University, Xi'an 710061.
authors.forename: S
authors.initials: S
authors.lastname: Xu
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.forename: Q
authors.initials: Q
authors.lastname: Huang
authors.forename: X
authors.initials: X
authors.lastname: Geng
authors.forename: L
authors.initials: L
authors.lastname: Sun
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents