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21 papers 25 to 100 followers
Gösta B Pettersson, Joseph S Coselli, Gösta B Pettersson, Joseph S Coselli, Syed T Hussain, Brian Griffin, Eugene H Blackstone, Steven M Gordon, Scott A LeMaire, Laila E Woc-Colburn
No abstract text is available yet for this article.
January 24, 2017: Journal of Thoracic and Cardiovascular Surgery
Simon Rouzé, Erwan Flécher, Matthieu Revest, Amedeo Anselmi, Marie Aymami, Antoine Roisné, Julien Guihaire, Jean Philippe Verhoye
BACKGROUND: We investigated our surgical strategy and clinical results in patients from active infective endocarditis (AIE) complicated by paravalvular involvement to determine the risk factors of early and late death and reoperation. METHODS: From October 1979 to December 2014, 955 patients underwent operations for AIE; among them 207 had AIE with paravalvular extension. The patients were a mean age of 59.9 ± 15.4 years, and 162 (78%) were male. Of these patients, 137 (66%) had isolated aortic valve endocarditis, and 138 (67%) had native valve endocarditis...
August 2016: Annals of Thoracic Surgery
Christos G Mihos, Romain Capoulade, Evin Yucel, Michael H Picard, Orlando Santana
Prosthetic valve endocarditis (PVE) is associated with significant morbidity, and the optimal treatment strategy has not been clearly defined. A systematic review and meta-analysis of 32 studies comparing valve reoperation and medical therapy was performed; it included 2,636 patients, with a mean follow-up of 22 months. A valve reoperation was associated with a lower risk of 30-day mortality, greater survival at follow-up, and a similar rate of PVE recurrence. Prospective studies are warranted to confirm these findings and to clarify clinical decision-making regarding the timing and necessity of a valve reoperation, as opposed to treatment with medical therapy alone...
March 2017: Annals of Thoracic Surgery
Christos G Mihos, Andres M Pineda, Orlando Santana
OBJECTIVE: An embolic ischemic stroke occurs in 10% to 40% of patients with valvular infective endocarditis (IE) and confers significant morbidity. The optimal timing of valve surgery in this population is not well defined. METHODS: With the use of PubMed, EMBASE, Ovid, and Cochrane databases, a systematic review identified 14 studies through October 2015 that compared early versus delayed surgery for valvular IE complicated by an ischemic stroke. Early surgery was defined as 3 days or less in one, 7 days or less in eight, and 14 days or less in five studies...
May 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Mahesh Anantha Narayanan, Toufik Mahfood Haddad, Andre C Kalil, Arun Kanmanthareddy, Rakesh M Suri, George Mansour, Christopher J Destache, Janani Baskaran, Aryan N Mooss, Tammy Wichman, Lee Morrow, Renuga Vivekanandan
OBJECTIVE: Infective endocarditis is associated with high morbidity and mortality and optimal timing for surgical intervention is unclear. We performed a systematic review and meta-analysis to compare early surgical intervention with conservative therapy in patients with infective endocarditis. METHODS: PubMed, Cochrane, EMBASE, CINAHL and Google-scholar databases were searched from January 1960 to April 2015. Randomised controlled trials, retrospective cohorts and prospective observational studies comparing outcomes between early surgery at 20 days or less and conservative management for infective endocarditis were analysed...
June 15, 2016: Heart: Official Journal of the British Cardiac Society
Bernard Iung, Thanh Doco-Lecompte, Sidney Chocron, Christophe Strady, François Delahaye, Vincent Le Moing, Claire Poyart, François Alla, Emmanuelle Cambau, Pierre Tattevin, Catherine Chirouze, Jean-François Obadia, Xavier Duval, Bruno Hoen
AIMS: Indications for surgery in acute infective endocarditis (IE) are detailed in guidelines, but their application is not well known. We analysed the agreement between the patient's attending physicians and European Society of Cardiology guidelines regarding indications for surgery. We also assessed whether surgery was performed in patients who had an indication. METHODS AND RESULTS: From the 2008 prospective population-based French survey on IE, 303 patients with definite left-sided native IE were identified...
March 7, 2016: European Heart Journal
Alberto Cresti, Mario Chiavarelli, Marco Scalese, Cesira Nencioni, Silvia Valentini, Francesco Guerrini, Incoronata D'Aiello, Andrea Picchi, Francesco De Sensi, Gilbert Habib
BACKGROUND: The population at risk, the clinical and microbiological features of infective endocarditis (IE) have changed. Aim of our study was to evaluate the contemporary epidemiological trends, over a 17-year period in a definite region of Tuscany, Italy, to analyze the clinical outcomes and associated prognostic factors. METHODS: From 1 January 1998 to 31 December 2014, all patients with a definite diagnosis of IE were prospectively entered in a data-base. The Health-Care system data-base was interrogated to capture patients who could have been missed...
February 2017: Cardiovascular Diagnosis and Therapy
Thomas J Cahill, Larry M Baddour, Gilbert Habib, Bruno Hoen, Erwan Salaun, Gosta B Pettersson, Hans Joachim Schäfers, Bernard D Prendergast
Infective endocarditis is defined by a focus of infection within the heart and is a feared disease across the field of cardiology. It is frequently acquired in the health care setting, and more than one-half of cases now occur in patients without known heart disease. Despite optimal care, mortality approaches 30% at 1 year. The challenges posed by infective endocarditis are significant. It is heterogeneous in etiology, clinical manifestations, and course. Staphylococcus aureus, which has become the predominant causative organism in the developed world, leads to an aggressive form of the disease, often in vulnerable or elderly patient populations...
January 24, 2017: Journal of the American College of Cardiology
Gus J Vlahakes
No abstract text is available yet for this article.
November 3, 2016: Journal of Thoracic and Cardiovascular Surgery
Bobby Yanagawa, Gosta B Pettersson, Gilbert Habib, Marc Ruel, Gustavo Saposnik, David A Latter, Subodh Verma
There has been an overall improvement in surgical mortality for patients with infective endocarditis (IE), presumably because of improved diagnosis and management, centered around a more aggressive early surgical approach. Surgery is currently performed in approximately half of all cases of IE. Improved survival in surgery-treated patients is correlated with a reduction in heart failure and the prevention of embolic sequelae. It is reported that between 20% and 40% of patients with IE present with stroke or other neurological conditions...
October 25, 2016: Circulation
Antonio Ramos, Carlos García-Montero, Alfonso Moreno, Patricia Muñoz, Josefa Ruiz-Morales, Gemma Sánchez-Espín, Carlos Porras, Dolores Sousa, Laura Castelo, María Del Carmen Fariñas, Francisco Gutiérrez, José María Reguera, Antonio Plata, Emilio Bouza, Isabel Antorrena, Arístides de Alarcón, José Manuel Pericás, Mercedes Gurguí, Hugo Rodríguez-Abella, Miguel Ángel Goenaga, José Antonio Oteo, Pablo García-Pavía
OBJECTIVES: Endocarditis in patients with ascending aortic prosthetic graft (AAPG) is a life-threatening complication. The purpose of this study was to examine the clinical presentation and prognosis of patients with AAPG endocarditis included in a large prospective infectious endocarditis multicentre study. METHODS: From January 2008 to April 2015, 3200 consecutive patients with infectious endocarditis according to the modified Duke criteria, were prospectively included in the 'Spanish Collaboration on Endocarditis Registry (GAMES)' registry...
December 2016: European Journal of Cardio-thoracic Surgery
Lauriane Pericart, Laurent Fauchier, Thierry Bourguignon, Louis Bernard, Denis Angoulvant, François Delahaye, Dominique Babuty, Anne Bernard
BACKGROUND: Information on the long-term prognosis of patients with infective endocarditis (IE) and valve surgical procedures is scarce, and most analyses are based on registries. This study described outcomes and predictors of mortality in a cohort of consecutive patients with IE with a long-term follow-up. METHODS: A total of 616 of patients with IE seen in an academic institution between 1990 and 2012 were identified and followed. The mean follow-up period was 4...
August 2016: Annals of Thoracic Surgery
Adriaan W Schneider, Mark G Hazekamp, Michel I M Versteegh, Eline F Bruggemans, Eduard R Holman, Robert J M Klautz, Jerry Braun
OBJECTIVES: Infective endocarditis of the aortic valve with local aortic root destruction requires radical resection of infected tissues and subsequent reconstruction of periannular structures and the left ventricular outflow tract (LVOT). Homografts or stentless bioprostheses are recommended for use in this specific patient group. The Freestyle stentless bioprosthesis is a porcine aortic root prosthesis, which approaches the surgical versatility of the homograft, but has the advantage of ready availability and uniform quality...
June 2016: European Journal of Cardio-thoracic Surgery
Sossio Perrotta, Anders Jeppsson, Victoria Fröjd, Gunnar Svensson
BACKGROUND: Despite progress in diagnostic methods and treatment, aortic prosthetic valve endocarditis (PVE) remains a life-threatening disease. We report the outcome of all operations for aortic PVE performed at our institution over the past 20 years. METHODS: Eighty-seven operations performed in 84 patients between 1993 and 2013 were included in this retrospective study. An aortic homograft was used in 56 (64%) cases, a mechanical prosthesis was used in 20 (23%) cases, and a bioprosthesis was used in 11 (13%) cases...
April 2016: Annals of Thoracic Surgery
Vivian H Chu, Lawrence P Park, Eugene Athan, Francois Delahaye, Tomas Freiberger, Cristiane Lamas, Jose M Miro, Daniel W Mudrick, Jacob Strahilevitz, Christophe Tribouilloy, Emanuele Durante-Mangoni, Juan M Pericas, Nuria Fernández-Hidalgo, Francisco Nacinovich, Hussien Rizk, Vladimir Krajinovic, Efthymia Giannitsioti, John P Hurley, Margaret M Hannan, Andrew Wang
BACKGROUND: Use of surgery for the treatment of infective endocarditis (IE) as related to surgical indications and operative risk for mortality has not been well defined. METHODS AND RESULTS: The International Collaboration on Endocarditis-PLUS (ICE-PLUS) is a prospective cohort of consecutively enrolled patients with definite IE from 29 centers in 16 countries. We included patients from ICE-PLUS with definite left-sided, non-cardiac device-related IE who were enrolled between September 1, 2008, and December 31, 2012...
January 13, 2015: Circulation
Thomas J Cahill, Bernard D Prendergast
Infective endocarditis occurs worldwide, and is defined by infection of a native or prosthetic heart valve, the endocardial surface, or an indwelling cardiac device. The causes and epidemiology of the disease have evolved in recent decades with a doubling of the average patient age and an increased prevalence in patients with indwelling cardiac devices. The microbiology of the disease has also changed, and staphylococci, most often associated with health-care contact and invasive procedures, have overtaken streptococci as the most common cause of the disease...
February 27, 2016: Lancet
Gilbert Habib, Patrizio Lancellotti, Manuel J Antunes, Maria Grazia Bongiorni, Jean-Paul Casalta, Francesco Del Zotti, Raluca Dulgheru, Gebrine El Khoury, Paola Anna Erba, Bernard Iung, Jose M Miro, Barbara J Mulder, Edyta Plonska-Gosciniak, Susanna Price, Jolien Roos-Hesselink, Ulrika Snygg-Martin, Franck Thuny, Pilar Tornos Mas, Isidre Vilacosta, Jose Luis Zamorano, Çetin Erol, Petros Nihoyannopoulos, Victor Aboyans, Stefan Agewall, George Athanassopoulos, Saide Aytekin, Werner Benzer, Héctor Bueno, Lidewij Broekhuizen, Scipione Carerj, Bernard Cosyns, Julie De Backer, Michele De Bonis, Konstantinos Dimopoulos, Erwan Donal, Heinz Drexel, Frank Arnold Flachskampf, Roger Hall, Sigrun Halvorsen, Bruno Hoen, Paulus Kirchhof, Mitja Lainscak, Adelino F Leite-Moreira, Gregory Y H Lip, Carlos A Mestres, Massimo F Piepoli, Prakash P Punjabi, Claudio Rapezzi, Raphael Rosenhek, Kaat Siebens, Juan Tamargo, David M Walker
No abstract text is available yet for this article.
November 21, 2015: European Heart Journal
Duk-Hyun Kang
Although early surgery is performed in approximately half of patients for the treatment of infective endocarditis (IE), the optimal timing of surgery remains unclear. Appropriate early surgery can avoid death and severe complications, but nearly one-quarter of patients with indications for surgery do not receive surgical intervention. Multidisciplinary collaborations among cardiologists, cardiac surgeons and infectious disease specialists are required for appropriate decisions about indication and timing of surgical intervention...
November 2015: Heart: Official Journal of the British Cardiac Society
Robert A Sorabella, Sang Myung Han, Mark Grbic, Yeu Sanz Wu, Hiroo Takyama, Paul Kurlansky, Michal A Borger, Michael Argenziano, Rachel Gordon, Isaac George
BACKGROUND: Valve operations for patients presenting with infective endocarditis (IE) complicated by stroke are thought to carry elevated risk of postoperative complications. Our aim was to compare outcomes of IE patients who undergo surgical intervention early after diagnosis of septic cerebral emboli with outcomes of patients without preoperative emboli. METHODS: All patients undergoing operations for left-sided IE between 1996 and 2013 at our institution were reviewed...
August 2015: Annals of Thoracic Surgery
Philip Y K Pang, Yoong Kong Sin, Chong Hee Lim, Teing Ee Tan, See Lim Lim, Victor T T Chao, Yeow Leng Chua
OBJECTIVES: To review our experience of surgical management of infective endocarditis (IE) over a 13-year period and analyse the outcomes and associated prognostic factors. METHODS: A retrospective review was conducted for 191 consecutive patients who underwent surgery for native and prosthetic valve endocarditis (PVE) between January 2000 and December 2012. Surgical outcomes were reviewed to include survival and postoperative complications. Follow-up was complete for 172 of 179 patients (96...
May 2015: European Journal of Cardio-thoracic Surgery
2015-04-19 21:49:48
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