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endocarditis aortica

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8 papers 0 to 25 followers
Joon Bum Kim, Julius I Ejiofor, Maroun Yammine, Janice M Camuso, Conor W Walsh, Masahiko Ando, Serguei I Melnitchouk, James D Rawn, Marzia Leacche, Thomas E MacGillivray, Lawrence H Cohn, John G Byrne, Thoralf M Sundt
BACKGROUND: Surgical dogma suggests that homografts should be used preferentially, compared with conventional xenograft or mechanical prostheses, in the setting of infective endocarditis (IE), because they have greater resistance to infection. However, comparative data that support this notion are limited. METHODS: From the prospective databases of 2 tertiary academic centers, we identified 304 consecutive adult patients (age ≥17 years) who underwent surgery for active IE involving the aortic valve (AV), in the period 2002 to 2014...
May 2016: Journal of Thoracic and Cardiovascular Surgery
Robert C Neely, Marzia Leacche, Jinesh Shah, John G Byrne
Valve endocarditis is associated with high morbidity and mortality and requires a thorough evaluation including early surgical consultation to identify patients who may benefit from surgery. We review 5 recent articles that highlight the current debates related to best treatment strategies for valve endocarditis. Recent publications have focused on neurologic risk assessment, timing of surgery, and prognostic factors associated with native and prosthetic valve endocarditis. The initial patient assessment and management is best performed by a multidisciplinary team...
2014: Seminars in Thoracic and Cardiovascular Surgery
Giovanni Saeed, Sebastian Lips, Jörg Neuzner
No abstract text is available yet for this article.
May 2015: Asian Cardiovascular & Thoracic Annals
Chi-Wei Wang, Chu-Leng Yu, Hung-Chih Pan, Si-Wa Chan, Kuo-Yang Wang, Wei-Wen Lin
UNLABELLED: A 59 year-old previously healthy male was admitted to the hospital with fever reportedly several days in duration. His physical examination was unremarkable at first. Pneumonia was initially diagnosed, but acute pulmonary edema with a new grade III to and fro murmur developed 1 week later. Transesophageal echocardiography (TEE) disclosed a pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF). Subsequent consultation with a cardiovascular surgeon resulted in a repaired aorta with otherwise uneventful results...
July 2015: Acta Cardiologica Sinica
Timothy Hou Teng Oh, Tom Kai Ming Wang, James A Pemberton, Peter J Raudkivi
BACKGROUND: The European Society of Cardiology 2015 guidelines advise urgent surgery for endocarditis complicated by cerebral embolism or transient ischemic events (1B evidence). Nevertheless, the timing of surgery remains contentious. This study aimed to review our experience of early versus delayed surgery in a selected cohort. METHODS: Our surgical database was examined for patients with a discharge diagnosis of endocarditis from 2005 to 2011. Selection was limited to patients who fulfilled the Duke criteria and underwent brain imaging for a clinically diagnosed preoperative neurological event...
June 2016: Asian Cardiovascular & Thoracic Annals
Hanako Tokuda, Mitsushige Murata, Fumiyuki Yashima, Mikihiko Kudo, Hikaru Tsuruta, Kazuma Okamoto, Yuichiro Maekawa, Motoaki Sano, Hiroyuki Fukushima, Hideyuki Shimizu, Keiichi Fukuda
We describe the imaging of unusual dislocation of right coronary cusp into left ventricular outflow tract (LVOT) due to the infective endocarditis. Although the two-dimensional echocardiography identified a protruding mass in LVOT, the three-dimensional echocardiography precisely demonstrated the spatial anatomy of the aortic root, which was confirmed by the surgical operation, implicating the usefulness of three-dimensional echocardiography in this rare anomaly.
April 2016: Echocardiography
Kevin Domingues, Liliana Marta, Isabel Monteiro, Margarida Leal
Pneumococcal endocarditis is a rare entity, corresponding to 1 to 3% of native valve endocarditis cases. It has a typically adverse prognosis, with high mortality. There is a reported predilection for the aortic valve; thus, a common presentation is acute left heart failure. We present a case of a 60-year-old woman with a history of sinusitis, who was admitted with the diagnosis of pneumonia. She rapidly deteriorated with signs of septic shock and was transferred to the critical care unit. The transesophageal echocardiogram revealed severe aortic regurgitation due to valve vegetations...
January 2016: Revista Brasileira de Terapia Intensiva
Kaan Kirali, Sabit Sarikaya, Yucel Ozen, Hakan Sacli, Eylul Basaran, Ozge Altas Yerlikhan, Ebuzer Aydin, Murat Bulent Rabus
Aortic root abscess is the most severe sequela of infective endocarditis, and its surgical management is a complicated procedure because of the high risk of morbidity and death. Twenty-seven patients were included in this 15-year retrospective study: 21 (77.8%) with native- and 6 (22.2%) with prosthetic-valve endocarditis. The surgical reconstruction of the aortic root consisted of aortic valve replacement in 19 patients (70.4%) with (11) or without (8) a pericardial patch, or total aortic root replacement in 7 patients (25...
February 2016: Texas Heart Institute Journal
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