Timing of surgery in infective endocarditis with cerebral complications: Time to think outside the nonexistent box
نویسندگان
چکیده
منابع مشابه
Time to think outside the (genetic) box.
Many patients develop cancers that have clinical features of inherited syndromes (e.g., young age of onset and unique pathology) but lack mutations in the genes characteristic of the disease. In this issue of the journal, Wong et al. report that somatic epigenetic inactivation could explain some such cases in the setting of BRCA1-associated breast cancer. Here, we discuss the implications of th...
متن کاملManagement of infective endocarditis with cerebral complications
PURPOSE Management of patients with infective endocarditis complicated by neurological deficits is challenging. No clear management guidelines have been defined, and the timing of surgery remains controversial. The purpose of this study was to evaluate our management algorithm. METHODS Thirty-eight adult patients with left-sided infective endocarditis undergoing valve surgery were analyzed. B...
متن کاملWhat is the optimal timing for surgery in infective endocarditis with cerebrovascular complications?
Neurologic dysfunction complicates the course of 10-40% of left-side infective endocarditis (IE). In right-sided IE, instead, when systemic emboli occur, paradoxical embolism should be considered. The spectrum of neurologic events includes embolic cerebrovascular complication (CVC), intracranial haemorrhage, ruptured mycotic aneurysm, transient ischaemic attack (TIA), meningitis, encephalopathy...
متن کاملIndications and optimal timing for surgery in infective endocarditis.
M ore and more patients are operated on during the active phase of infective endocarditis (IE). Between 1991 and 1999, in France, the rate of cardiac surgery has increased from 31% to 50%. This may, at least in part, explain the concomitant decrease of in hospital mortality, from 22% to 17%. Nonetheless, the indications for cardiac surgery and its optimal timing remain difficult decisions. The ...
متن کاملINFECTIVE ENDOCARDITIS IN CHILDREN OF SOUTHERN IRAN
Infective endocarditis is an uncommon heart disease with a variable incidence, mostly related to the ever-increasing development of cardiac surgery and the longer survival of patients with congenital heart disease (CHD). Thirty-seven episodes of infective endocarditis (IE) were evaluated in 36 children (under 15 years of age) admitted to hospitals affiliated to Shiraz University of Medical ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2018
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2017.07.061