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Surgery for endocarditis

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https://www.readbyqxmd.com/read/29450741/utility-of-cardiac-computed-tomography-scanning-in-the-diagnosis-and-pre-operative-evaluation-of-patients-with-infective-endocarditis
#1
Jason R Sims, Nandan S Anavekar, Krishnaswamy Chandrasekaran, James M Steckelberg, Walter R Wilson, Bernard J Gersh, Larry M Baddour, Daniel C DeSimone
Transesophageal echocardiography (TEE) is the gold standard imaging study used in the diagnosis of infective endocarditis (IE). Computed tomography angiography (CTA) has undergone rapid advancement as a cardiac imaging technique and has previously shown promise in small non-randomized studies for evaluation of IE. We hypothesized that cardiac CTA would perform similarly to TEE in the detection of endocarditic lesions and that there would be no difference in clinical outcomes whether the coronary arteries were evaluated by CTA or invasive coronary angiography (ICA)...
February 15, 2018: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/29442340/aortic-valve-replacement-using-autologous-pericardium-single-centre-experience-with-the-ozaki-technique
#2
Oliver Reuthebuch, Luca Koechlin, Ulrich Schurr, Martin Grapow, Jens Fassl, Friedrich S Eckstein
OBJECTIVE: To assess the clinical implementation and report preliminary results of a novel technique called the Ozaki procedure for stentless aortic valve replacement through reconstruction of the valve leaflets from autologous pericardium. METHOD: Between September 2015 and May 2017 30 patients (20 males, mean ± standard deviation age 66.83 ± 10.55 years) suffering from aortic stenosis (AS, n = 7), aortic regurgitation (AR, n = 12), or a combination of both (AS/AR, n = 11) were assigned for an Ozaki procedure...
February 14, 2018: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29435864/current-knowledge-among-japanese-experienced-general-dentists-regarding-prevention-of-infective-endocarditis
#3
Ryota Nomura, Kazuma Kokomoto, Takahiro Ohara, Satoshi Nakatani, Takashi Ooshima, Kazuhiko Nakano
Infective endocarditis (IE), a life-threatening condition predominantly occurring in patients with underlying heart disease, is mainly caused by bacteremia induced by invasive dental treatment. However, the amount of related information shared between cardiologists and dentists appears to be inadequate. In the present study, a survey regarding prevention of IE, composed of 13 major questions, 2 of which also allowed free comments, was sent to approximately 3000 dentists belonging to a prefectural dental association in Japan...
February 12, 2018: Odontology
https://www.readbyqxmd.com/read/29432360/periareolar-access-for-minimally-invasive-cardiac-surgery-the-brazilian-technique
#4
Robinson Poffo, Paola K Montanhesi, Alisson P Toschi, Renato B Pope, Cláudio A Mokross
The periareolar access has been the preferred technique used at our institution for minimally invasive cardiac surgery since 2006. The surgical approach consists of video-assisted minithoracotomy in the 4th right intercostal space, through a periareolar incision. Initially, the technique was restricted to minimally invasive mitral valve surgeries but, due to its feasibility and safety, was soon incorporated as an ideal access for other cardiac pathologies such as tricuspid valve disease, atrial septal defect, atrial fibrillation, and pacemaker leads endocarditis...
February 9, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29429763/a-broad-range-pcr-technique-for-the-diagnosis-of-infective-endocarditis
#5
Ines Boujelben, Radhouane Gdoura, Adnane Hammami
Infective endocarditis (IE) remains a severe and potentially fatal disease demanding sophisticated diagnostic strategies for detection of the causative microorganisms. The aim of the present study was to develop a broad-range 16S ribosomal RNA gene polymerase chain reaction in the routine diagnostic of IE for the early diagnosis of fatal disease. A broad-range PCR technique was selected and evaluated in terms of its efficiency in the diagnosis of endocarditis using 19 heart valves from patients undergoing cardiovascular surgeries at the Habib Bourguiba Hospital of Sfax, Tunisia, on the grounds of suspected IE...
February 8, 2018: Brazilian Journal of Microbiology: [publication of the Brazilian Society for Microbiology]
https://www.readbyqxmd.com/read/29426281/primary-percutaneous-coronary-intervention-during-st-elevation-myocardial-infarction-in-prosthetic-valve-endocarditis-a-case-report
#6
Alfonso Campanile, Guido Tavazzi, Francesco Caprioglio, Fausto Rigo
BACKGROUND: Infective endocarditis (IE) is still a condition with high mortality and morbidity, especially in the elderly, and in patients with prosthetic valves. The concept of "time-to-therapy" plays a key role for the prompt management of IE and related complications, and the currently available multimodality imaging may play a key role in this setting. Myocardial ischemia due to extrinsic coronary compression from an aortic abscess is an extremely rare condition where the optimal therapeutic strategy has not been defined yet...
February 9, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29419663/emphysematous-endocarditis-caused-by-ampc-beta-lactamase-producing-escherichia-coli-a-case-report
#7
Chung-Jong Kim, Jeong-Eun Yi, Yookyung Kim, Hee Jung Choi
RATIONALE: Infective endocarditis (IE) is a life-threatening disease, mostly caused by gram-positive bacteria. Gram-negative bacteria were identified as a causative organism in relatively small number of cases. Although, antibiotic-resistant Escherichia coli is common cause of gram-negative endocarditis, AmpC beta-lactamase (BL)-harboring E coli is very rare cause of IE. Furthermore, emphysematous endocarditis is also a very rare manifestation of E coli infection. PATIENT CONCERNS: We report a case of 80-year-old female patient presenting with dizziness, fever, and altered mental status, who was finally diagnosed with emphysematous endocarditis caused by E coli harboring an AmpC BL gene...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29413230/the-diagnosis-of-microorganism-involved-in-infective-endocarditis-ie-by-polymerase-chain-reaction-pcr-and-real-time-pcr-a-systematic-review
#8
REVIEW
Reza Faraji, Mostafa Behjati-Ardakani, Seyed Mohammad Moshtaghioun, Seyed Mehdi Kalantar, Seyedeh Mahdieh Namayandeh, Mohammadhossien Soltani, Mahmood Emami, Hengameh Zandi, Ali Dehghani Firoozabadi, Mahmood Kazeminasab, Nastaran Ahmadi, Mohammadtaghi Sarebanhassanabadi
Broad-range bacterial rDNA polymerase chain reaction (PCR) followed by sequencing may be identified as the etiology of infective endocarditis (IE) from surgically removed valve tissue; therefore, we reviewed the value of molecular testing in identifying organisms' DNA in the studies conducted until 2016. We searched Google Scholar, Scopus, ScienceDirect, Cochrane, PubMed, and Medline electronic databases without any time limitations up to December 2016 for English studies reporting microorganisms involved in infective endocarditis microbiology using PCR and real-time PCR...
February 2018: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/29408350/a-pragmatic-approach-for-mortality-prediction-after-surgery-in-infective-endocarditis-optimizing-and-refining-euroscore
#9
Nuria Fernández-Hidalgo, Ignacio Ferreria-González, Josep R Marsal, Aida Ribera, María L Aznar, Arístides de Alarcón, Emilio García-Cabrera, Juan Gálvez-Acebal, Gemma Sánchez-Espín, José M Reguera-Iglesias, Javier De La Torre-Lima, José M Lomas, Carmen Hidalgo-Tenorio, Nuria Vallejo, Berta Miranda, Alba Santos-Ortega, Miguel A Castro, Pilar Tornos, David García-Dorado, Benito Almirante
OBJECTIVE: To simplify and optimize EuroSCORE I and II ability to predict early mortality after surgery of infective endocarditis (IE). METHODS: Multicenter retrospective study (n=775). Simplified scores, eliminating irrelevant variables, and new specific scores, adding specific IE variables, were created. The performance of the original, recalibrated and specific EuroSCOREs was assessed by Brier score, C-statistic, and calibration plot in bootstrap samples. The Net Reclassification Index (NRI) was quantified...
February 2, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29399997/clinical-outcomes-of-percutaneous-or-surgical-closure-of-ruptured-sinus-of-valsalva-aneurysm
#10
Jia-Wang Xiao, Qi-Guang Wang, Duan-Zhen Zhang, Chun-Sheng Cui, Xiumin Han, Po Zhang, Chuangju Hou, Xian-Yang Zhu
OBJECTIVE: To evaluate the clinical efficacy, safety, and long-term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA). METHODS: Eighty-five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair...
February 5, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/29398138/corrigendum-to-a-predictive-model-for-early-mortality-after-surgical-treatment-of-heart-valve-or-prosthesis-infective-endocarditis-the-endoscore-int-j-cardiol-aug-15-2017-241-97-102
#11
Michele Di Mauro, Guglielmo Mario Actis Dato, Fabio Barili, Sandro Gelsomino, Pasquale Santè, Alessandro Della Corte, Antonio Carrozza, Ester Della Ratta, Diego Cugola, Lorenzo Galletti, Roger Devotini, Riccardo Casabona, Francesco Santini, Antonio Salsano, Roberto Scrofani, Carlo Antona, Luca Botta, Claudio Russo, Samuel Mancuso, Mauro Rinaldi, Carlo De Vincentiis, Andrea Biondi, Cesare Beghi, Giangiuseppe Cappabianca, Vincenzo Tarzia, Gino Gerosa, Michele De Bonis, Alberto Pozzoli, Francesco Nicolini, Filippo Benassi, Francesco Rosato, Elena Grasso, Ugolino Livi, Sandro Sponga, Davide Pacini, Roberto Di Bartolomeo, Andrea DeMartino, Uberto Bortolotti, Francesco Onorati, Giuseppe Faggian, Roberto Lorusso, Enrico Vizzardi, Gabriele Di Giammarco, Daniele Marinelli, Emmanuel Villa, Giovanni Troise, Marco Picichè, Francesco Musumeci, Domenico Paparella, Vito Margari, Francesco Tritto, Girolamo Damiani, Giuseppe Scrascia, Salvatore Zaccaria, Attilio Renzulli, Giuseppe Serraino, Giovanni Mariscalco, Daniele Maselli, Massimiliano Foschi, Alessandro Parolari, Giannantonio Nappi
No abstract text is available yet for this article.
January 12, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29390580/successful-management-of-a-complicated-clinical-crisis-a-patient-with-left-sided-endocarditis-and-secondary-hemophagocytic-lymphohistiocytosis-a-rare-case-report-and-literature-review
#12
Peipei Xu, Hui Zeng, Min Zhou, Jian Ouyang, Bing Chen, Qiguo Zhang
RATIONALE: Hemophagocytic lymphohistiocytosis (HLH) secondary to methicillin-resistant Staphylococcus epidermidis (MRSE)-related left-sided infectious endocarditis had never been reported before. In the last decade, daptomycin, a novel lipopeptide antibiotic, showed its excellent role in anti-Gram-positive bacteria, including soft tissue infection, bloodstream and deep tissueinfection. PATIENT CONCERNS: An Asian women under sever condition due to the cooccurrence of HLH and MRSE-related endocarditis while also be allergic to vancomycin...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390335/fever-of-unknown-origin-and-splenomegaly-a-case-report-of-blood-culture-negative-endocarditis
#13
Maria Livia Burzo, Mariangela Antonelli, Giovanni Pecorini, Angela M R Favuzzi, Raffaele Landolfi, Andrea Flex
RATIONALE: Fever of unknown origin (FUO) can be determined by different conditions among which infectious diseases represent the main cause. PATIENT CONCERNS: A young woman, with a history of aortic stenosis, was admitted to our unit for a month of intermittent fever associated with a new diastolic heart murmur and splenomegaly. Laboratory tests were negative for infectious screening. The total body computed tomography (CT) scan excluded abscesses, occulted neoplasia, or lymphadenopathy...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390132/a-review-of-combination-antimicrobial-therapy-for-enterococcus-faecalis-bloodstream-infections-and-infective-endocarditis
#14
Maya Beganovic, Megan K Luther, Louis B Rice, Cesar A Arias, Michael J Rybak, Kerry L LaPlante
Enterococci, one of the most common causes of hospital-associated infections, are responsible for substantial morbidity and mortality. Enterococcus faecalis, the more common and virulent species, cause serious high-inoculum infections, namely infective endocarditis, that are associated with cardiac surgery and mortality rates that remained unchanged for the last 30 years. The best cure for these infections are observed with combination antibiotic therapy; however, optimal treatment has not been fully elucidated...
January 30, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29382606/outcome-of-infective-endocarditis-in-the-current-era-early-predictors-of-poor-prognosis
#15
Maria Carmo Pereira Nunes, Milton Henriques Guimarães-Júnior, Pedro Henrique Oliveira Murta Pinto, Rodrigo Matos Pinto Coelho, Thais Lins Souza Barros, Nicole de Paula Aarão Faleiro Maia, Dayane Amaral Madureira, Rodrigo Citton Padilha Reis, Paulo Henrique Nogueira Costa, Renato Bráulio, Cláudio Léo Gelape, Teresa Cristina Abreu Ferrari
BACKGROUND: Early identification of patients at risk of IE complications using parameters obtained routinely is essential for clinical decision making guidance. This study aimed to identify a parameter at hospital admission that predicts outcome, adding value to other well-known factors of poor prognosis in IE. METHODS: Two hundred and three patients with IE were included. Clinical evaluation, echocardiography, blood cultures, and routine laboratory tests were performed at hospital admission...
January 27, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29382232/what-are-the-main-predictors-of-in-hospital-mortality-in-patients-with-infective-endocarditis-a-review
#16
Wilhelm P Mistiaen
OBJECTIVES: Infective endocarditis (IE) has a high 30-day mortality. Surgery is needed in many patients. The preoperative hemodynamic status (congestive heart failure, need for urgent/emergent surgery or mechanical support, NYHA class III/IV) could have an impact on postoperative outcome. Each of these parameters is an indication for the inadequacy of the left ventricle to maintain an adequate circulation Methods. A literature search was performed using "endocarditis AND hospital mortality OR outcome AND predictor" and "International Collaboration on Endocarditis - Prospective Cohort Study" in Web of Science database, from 2010-2017...
January 30, 2018: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/29380224/prosthetic-valve-endocarditis-caused-by-propionibacterium-species-a-national-registry-based-study-of-51-swedish-cases
#17
Fredrik Lindell, Bo Söderquist, Kristina Sundman, Lars Olaison, Jan Källman
Propionibacterium spp. are a rare cause of infective endocarditis (IE). The diagnosis is difficult because the bacteria are slow-growing and growth in blood cultures is often misinterpreted as contamination from the skin flora. The aim of this study was to describe all cases of Propionibacterium spp. endocarditis in the Swedish national registry of IE. The registry was searched for all cases of IE from 1995 to 2016 caused by Propionibacterium spp. Data concerning clinical characteristics, treatment, and outcome were registered...
January 29, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29373845/daptomycin-treatment-in-vascular-graft-gram-positive-infections
#18
Francisco Arnaiz de Las Revillas, Marta Fernadez-Sampedro, Ana María Arnaiz-García, Manuel Gutierrez-Cuadra, Carlos Armiñanzas, Ivana Pulitani, Alejandro Ponton, Valentin Tascon, Ivan García, María Carmen Fariñas
BACKGROUND: Daptomycin is a bactericidal antibiotic approved for the treatment of skin and soft tissue infections and right-side endocarditis. However, there is a lack of published data outlining its usefulness in vascular graft infections (VGI). The aim of this study was to describe the clinical experience of the use of daptomycin in the treatment of VGI by Gram-positive bacteria. METHODS: This was a retrospective cohort study of patients diagnosed with VGI receiving daptomycin in a tertiary health care hospital from January 2010 to December 2012...
January 23, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29351694/treatment-outcomes-for-right-sided-endocarditis-in-intravenous-drug-users-a-systematic-review-and-analysis-of-outcomes-in-a-tertiary-centre
#19
Karen Magsino, Rohan Sanjanwala, Brett Hiebert, Janet Rothney, Rizwan Manji, Rakesh Arora, Pallav Shah
BACKGROUND:  The increasing prevalence of intravenous drug users (IVDU) has resulted in higher incidence of right-sided infective endocarditis (RSIE). However, treatment guidelines for RSIE in IVDU are not well defined. The aim is to evaluate efficacy of different treatment strategies in reducing mortality and to describe treatment outcomes. METHODS:  We systematically reviewed the literature using PubMed, Cochrane, CENTRAL, OvidEMBASE, Web of Science, and Medline databases to include prospective studies that compare mortality rates among IVDU with RSIE receiving isolated medical treatment versus those receiving medical-surgical treatment...
January 19, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29344380/sex-stratified-analysis-of-national-trends-and-outcomes-in-isolated-tricuspid-valve-surgery
#20
Pranav Chandrashekar, Erin Amanda Fender, Chad J Zack, Yogesh N V Reddy, Courtney E Bennett, Megha Prasad, Mohammed A Al-Hijji, John M Stulak, Virginia M Miller
Objective: Female sex is a known risk factor for cardiac surgery, and tricuspid valve (TV) disease is more common in women. There are few data on sex-stratified surgical outcomes for isolated TV surgery. An administrative database was used to compare acute in-hospital outcomes between men and women undergoing isolated TV surgery. Methods: Patients aged >18 who underwent TV repair or replacement from 2004 to 2013 were identified using the National Inpatient Sample...
2018: Open Heart
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