[Prosthetic valve endocarditis: about 14 cases].

Authors :: Ben Omrane S
Kaouel K
Ben Ali W
Ben Mrad M
Ziadi J
Anis Rjeb M
Denguir R
Kalfat T
Khayati A
Source :: La Tunisie medicale [Tunis Med] 2008 Nov; Vol. 86 (11), pp. 978-82.
Publication Year :: 2008
Abstract: Background: Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery.<br />Aim: The aim of this study is to determine the diagnostic and therapeutic management for PVE.<br />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.<br />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%.<br />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.

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