[Prosthetic valve endocarditis: about 14 cases].
BACKGROUND
Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery.


OBJECTIVE
The aim of this study is to determine the diagnostic and therapeutic management for PVE.


METHODS
It's a retrospective study about 14 cases of PVE operated in the department of cardiovascular surgery of la Rabta hospital between January 1996 and December 2006.


RESULTS
In two cases, surgery was performed emergent, in the remnant cases surgery was elective. The coagulase-negative staphylococcus (CNS) is the predominant cause of these PVE.Surgery consisted on seven mitral prosthesis replacements and seven aortic prosthesis replacements.Hospital mortality was 50%.


CONCLUSIONS
In conclusion attention should be made to prevent endocarditis when possible. In case of PVE, an early diagnosis a leads to earlier application of appropriate therapies and improved outcome.
Ben Omrane
Skander
S
Service de chirurgie cardiovasculaire hopital la rabta, Tunis, Tunisie.
Kaouel
Karim
K
Ben Ali
Walid
W
Ben Mrad
Malek
M
Ziadi
Jalel
J
Anis Rjeb
Mohamed
M
Denguir
Raouf
R
Kalfat
Taoufik
T
Khayati
Adel
A
D000328:Adult; D001021:Aortic Valve / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000401:mortality / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000401:mortality / Q000601:surgery; D011778:Q Fever / Q000150:complications* / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000150:complications* / Q000401:mortality / Q000601:surgery