1. [Prosthetic valve endocarditis: about 14 cases].
- Author
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Ben Omrane S, Kaouel K, Ben Ali W, Ben Mrad M, Ziadi J, Anis Rjeb M, Denguir R, Kalfat T, and Khayati A
- Subjects
- Adult, Aortic Valve pathology, Aortic Valve surgery, Endocarditis, Bacterial mortality, Endocarditis, Bacterial surgery, Female, Humans, Male, Middle Aged, Mitral Valve pathology, Mitral Valve surgery, Prosthesis Failure, Prosthesis-Related Infections mortality, Prosthesis-Related Infections surgery, Q Fever mortality, Q Fever surgery, Reoperation, Retrospective Studies, Staphylococcal Infections mortality, Staphylococcal Infections surgery, Aortic Valve microbiology, Endocarditis, Bacterial microbiology, Heart Valve Prosthesis Implantation adverse effects, Mitral Valve microbiology, Prosthesis-Related Infections microbiology, Q Fever complications, Staphylococcal Infections complications
- Abstract
Background: Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery., Aim: 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%., Conclusion: 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.
- Published
- 2008