S-1-19 Prosthetic valve reoperation

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Prosthetic Valve Endocarditis

In 38 cases of prosthetic valve endocarditis, 19 were early cases (onset < 60 days after insertion of prosthesis) and 19, late cases (onset> 60 days). Nine late cases had onsets 12 to 53 months after surgery. The sources or predisposing factors in late cases included dental disease or manipulation; genitourinary tract procedures; and skin, urinary, or wound infections. In contrast, most early c...

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Prosthetic valve endocarditis occurs in 2-4% of patients with prosthetic valves and carries a mortality of around 50%. A low index of suspicion should enable early diagnosis. The empirical use of antibiotics in patients with a prosthetic valve who develop an unexplained fever is inappropriate. Careful liaison between cardiologist, microbiologist and cardiac surgeon is essential for optimal mana...

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1 find it somewhat surprising that after twcnty years of valve replacement the subject is stiii a topic for discussion at major cardiac surgical meetings. This undoubt ediy reflects the status of valves today since there stili rernains no ideal vaive substitute. In fact in recent years there appears te be a general trend toward trying to preserve the patient's own natural valve by rather extens...

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ژورنال

عنوان ژورنال: Japanese Journal of Cardiovascular Surgery

سال: 1982

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.12.104