Prosthetic valve endocarditis – A trouble or a challenge?

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Management of prosthetic valve endocarditis: a clinical challenge.

Prosthetic valve endocarditis (PVE) is a very serious disease. PVE is usually classified as early PVE (that is, acquired perioperatively), and late PVE (resulting from infections unrelated to the valve operation). Early PVE has a much worse prognosis than late PVE. Differences in infective organisms and in the clinical setting explain the dismal prognosis in early PVE and the almost universal n...

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  Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, i...

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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.

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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Fifty-three (3.6%; actuarially 4.1% at 48 months) of 1465 consecutive in-hospital survivors of valve replacement from 1975 to July 1979 (aortic, mitral, or aortic and mitral, only one untraced) developed prosthetic valve endocarditis (PVE). Incremental risk factors for developing PVE were native valve endocarditis (p < .0001), black race (p = .0001), mechanical prosthesis (vs bioprosthesis) (p ...

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ژورنال

عنوان ژورنال: Journal of Cardiology

سال: 2019

ISSN: 0914-5087

DOI: 10.1016/j.jjcc.2018.08.007