By Henryk Siniawski
Active infective endocarditis is without doubt one of the so much critical ailments of the guts. an infection usually motives periannular abscess, and should additionally unfold to impact the mitral valve constructions. This hardship incorporates a excessive mortality fee and valve substitute by way of in depth care and antibiotic therapy could be the in simple terms choice to shop patientsвЂ™ lives. critical hemodynamic melancholy brought on by bacterial surprise, is at the present time now not a counter-indication, and the second one significant chance issue, that of postoperative reinfection, has been vastly diminished by utilizing homografts and new valve prostheses which are immune to bacterial an infection. well timed operation, sooner than advanced destruction of cardiac buildings happens, achieves a far greater expense of survival.
This evaluation of the result of surgery of lively infective endocarditis was once played on the German middle Institute Berlin. It makes a speciality of preoperative research and proposes a brand new class of this endocarditic disease.
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Extra resources for Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical ... in der Herz-, Thorax- und GefГ¤Гџchirurgie)
Additional studies are necessary to test this hypothesis. It has to be 44 taken into account that the more dynamic endocarditic destruction and the progression of endocarditic lesions are, the less favorable the results of treatment will be. 157 Recent advances in echocardiography allow insight into the structures. The cavity can be defined not only according to its size and location, but also according to its content. Efforts have been undertaken to define the stages of abscess according to ultrasonically studied symptoms and to correlate these with intraoperative findings.
None of these 4 patients suffered from any kind of postoperative complications. Shrinkage of LV after valve operation The isolated aortic valve replacement group (AVR) (Table 18) was compared to the group of patients who received double valve replacement (AV and MV surgery) in terms of LV changes and early postoperative improvement. 1%) had postoperative LV reduction at least to preoperative values. However, pronounced differences were observed between groups with the two different paths of infection extension (Table 18).
Moderately extended jet lesion. Modified five-chamber view with color Doppler. 1: anterior mitral leaflet perforation by jet lesion 2 4 3 1 Figure 17. Advanced stage of jet lesion. Echocardiographic parasternal long axis view. There is a large perforation with aneurysm of the AML (1). 2 = septum, 3 = left atrium, 4 = basis of AML. Typical complications of extended endocarditis such as VSD (ventricular septal defect), fistulas and pseudoaneurysm formation were diagnosed according to classical criteria.