Mitral Valve Infective Endocarditis: Benefit of Early Operation and Aggressive Use of Repair

Shang, Eric K.; Forrest, Graeme N.; Chizmar, Timothy; Chim, Jimmy H.; Brown, James M.; Zhan, Min; Zoarski, Gregg H.; Griffith, Bartley P.; Gammie, James S.

doi:10.1016/j.athoracsur.2009.02.098

Cited by 81 publications

(65 citation statements)

References 18 publications

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“…Ponadto, chociaż w przypadku ewidentnej skuteczności leczenia antybiotykami, gdy nie występuje HF, od operacji kardiochirurgicznej można odstąpić, wyniki najnowszych badań wykazały, że wczesne leczenie operacyjne pozwala osiągnąć odsetek zabiegów naprawczych rzędu 61-80% oraz poprawę przeżycia w trakcie hospitalizacji i w obserwacji odległej [209,210,302,303,307]. Pozostającą niedomykalność mitralną można ocenić za pomocą śródoperacyjnej TEE.…”

Section: Podejście Chirurgiczne I Technikiunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

148

212

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Section: Podejście Chirurgiczne I Technikiunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

148

212

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“…6,7) Operative indications in the active phase were (1) persistent infection despite appropriate antibiotic therapy, (2) recurrent embolic events, (3) refractory heart failure, and (4) large (>1 cm) and mobile vegetation. The surgical strategy for active IE was (1) complete debridement of infected intra-cardiac tissue; (2) in the case of annular abscess formation, annular reconstruction with patching performed before prosthetic implantation; (3) in patients with mitral valve infection, mitral valve repair was the first choice if repair was considered feasible on preoperative echocardiography; and (4) if native valve repair was not feasible, a prosthesis was selected according to the risk of bleeding complications, especially intracranial bleeding, and patient age.…”

mentioning

confidence: 99%

Surgical Outcome in Hemodialysis Patients with Active-Phase Infective Endocarditis

Omoto

Aoki

Maruta

et al. 2016

ATCS

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IntroductionInfective endocarditis (IE) occurs 18 times more frequently in chronic hemodialysis (HD) patients than in the general population. 1) Several previous studies have demonstrated high postoperative mortality (11%-80%) in HD patients who require surgical intervention for IE, [2][3][4] however, little information is available on the preoperative management of these patients.Here, to improve preoperative management in HD patients requiring surgical intervention for IE, we reviewed surgical experience at our institution over a 10-year period to elucidate the characteristics of chronic HD patients requiring surgery during the active phase of IE. We also reviewed long-term outcomes in these HD patients. Materials and MethodsThis study was approved by the institutional review board of Showa University, School of Medicine, and informed consent was obtained from all patients. We reviewed the cases of all patients undergoing surgery on native valves for active IE in our institute between December 2004 and July 2015. The surgical strategy in our institute remained consistent over that time period. Redo operations were excluded from the study.

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“…However, some studies 3,4,7 recommend delaying a cardiac operation for active IE for 2-4 weeks if evidence of brain damage is present. In contrast, some current reports 5,8 demonstrated that an early operation did not compromise neurological recovery, even when the preoperative head CT demonstrated abnormalities. Shang and colleagues 5 reported excellent results of an early operation for acute IE with preoperative head CT abnormalities; that is, about half of a total of 59 surgical cases with active IE had head CT abnormalities preoperatively but only 1 case developed a permanent neurological defi cit after the surgery.…”

Section: Discussionmentioning

confidence: 64%

Cerebral hemorrhage after mitral valve replacement in a patient with active infective endocarditis during the acute phase of a cerebellar infarction: a case report

Maeba

Taguchi

Watanabe

et al. 2010

Gen Thorac Cardiovasc Surg

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A 60-year-old woman presented with a high fever (39°C or higher). Transthoracic echocardiography revealed a large and mobile vegetation on the anterior mitral leaflet with moderate mitral regurgitation. Computed tomography revealed a cerebellar infarction. The large vegetation had extended into the mitral annulus and had become mobile, and furthermore the patient failed with cardiac decompensation. Although the cerebellar infarction was still in the acute phase, we performed a radical resection of the vegetation and infected tissue, annular reconstruction with an autologous pericardial patch, and mitral valve replacement 3 days after admission. After the operation, the patient suffered from subsequent cerebral hemorrhage in the occipital lobe. The patient received medical treatment and was discharged successfully without sequelae.

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Mitral Valve Infective Endocarditis: Benefit of Early Operation and Aggressive Use of Repair

Cited by 81 publications

References 18 publications

2015 ESC Guidelines for the management of infective endocarditis

2015 ESC Guidelines for the management of infective endocarditis

Surgical Outcome in Hemodialysis Patients with Active-Phase Infective Endocarditis

Cerebral hemorrhage after mitral valve replacement in a patient with active infective endocarditis during the acute phase of a cerebellar infarction: a case report

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