CME: Infektiöse Endokarditis

Meier, Silvan; Hasse, Barbara; Haller, Christlieb

doi:10.1024/1661-8157/a002411

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgery is currently contemplated as a part and not a failure of treatment as overall 50% of all IE patients will require an operation, which is also performed on urgent or emergency basis in a significant proportion of patients due to the preoperative condition (19,20) . A multidisciplinary approach is currently well accepted due to the complexity of this disease, thus resulting in the need for multiple specialists along the complex process of care (21,22) .…”

Section: Introductionmentioning

confidence: 99%

Surgical Aspects of Infective Endocarditis with Focus on the Aortic Root

Cuevas¹,

Savić²,

Quintana³

et al. 2018

ejcm

View full text Add to dashboard Cite

Infective endocarditis is an uncommon disease carrying a mortality between 10% and 25%. The mitral and aortic valves are involved between 34-42% and 36-50% respectively. Early and aggressive treatment is mandatory, this impacts on early and long-term outcomes. A multi-disciplinary team approach is currently accepted as standard of practice. Approximately half of the patients require cardiac surgery as a part of the treatment. In case of extravalvular spread of infection, persistent sepsis, multiple embolic events despite appropriate antibiotic therapy, acute or worsening conduction abnormalities or heart failure, urgent surgery must be considered. When the infection involves the aortic root, a radical approach is preferred. As we expected, prosthetic valve endocarditis has worst outcomes, particularly related to the higher mortality in reoperations.

show abstract

Section: Introductionmentioning

confidence: 99%