| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 1106-1113, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
F Jault, I Gandjbakhch, JC Chastre, JP Levasseur, V Bors, C Gibert, A Pavie and C Cabrol
From January 1978 to December 1988, 71 patients underwent surgical
intervention at our institution for prosthetic valve endocarditis with ring
abscesses. These procedures involved 59 aortic prostheses and 12 mitral
prostheses. No causative agent could be identified in 19 patients (26.7%).
The operation was performed during antibiotic therapy in 63 patients and
after a planned course of antibiotic therapy in 8 patients. At the aortic
level, abscesses were remedied by suturing in 3 cases, by pericardial
patches in 34 cases, and by complex procedures in 22 cases (subcoronary
valved conduit in 11 cases, supracoronary valved conduit with coronary
bypass grafts in 10 cases, apicoaortic valved conduit in 1 case). At the
mitral level, ring abscesses were cured in 10 cases by intraatrial
implantation of the prosthesis. In one case, the prosthesis was anchored
inside the left ventricle; and in one case the valve could be seated on the
anulus. The overall operative mortality rate was 17%. Long-term survival
was 54% +/- 8% at 6 years. Fifteen (26%) of the survivors needed a third
valve replacement (four operative deaths); a complex reconstruction was
performed in seven patients. Better detection of ring abscesses and earlier
surgical intervention before annular destruction and hemodynamic failure
can improve the operative mortality rate for prosthetic valve endocarditis.
When it is necessary, complex reconstruction, in spite of a high mortality
rate, seems to eradicate the infectious seat, and the outlook for the
patient's condition appears good.
ARTICLES
Prosthetic valve endocarditis with ring abscesses. Surgical management and long-term results
Department of Cardiovascular Surgery, Pitie's Hospital, Paris, France.
This article has been cited by other articles:
|
|
 |
|
  P. Masetti and N. T. Kouchoukos Left Ventricular Outflow Tract Reconstruction for Annular Erosion Using a Polyester Graft Ann. Thorac. Surg., January 1, 2008; 85(1): 345 - 346. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. E. David Surgical Treatment of Aortic Valve Endocarditis Card. Surg. Adult, January 1, 2008; 3(2008): 949 - 956. [Full Text]
|
|
|
|
|
|
B. Mahesh, G. Angelini, M. Caputo, X. Y. Jin, and A. Bryan Prosthetic Valve Endocarditis Ann. Thorac. Surg., September 1, 2005; 80(3): 1151 - 1158. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Nottin, N. Al-Attar, R. Ramadan, A. Azmoun, A. Therasse, C. Kortas, M. Ly, A. Bouchachi, and M.-L. Bourachot-Montanteme Aortic Valve Translocation for Severe Prosthetic Valve Endocarditis: Early Results and Long-Term Follow-Up Ann. Thorac. Surg., May 1, 2005; 79(5): 1486 - 1490. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. E. David Surgical Treatment of Aortic Valve Endocarditis Card. Surg. Adult, January 1, 2003; 2(2003): 857 - 866. [Full Text]
|
|
|
|
 |
|
 K.-L. Chan Early clinical course and long-term outcome of patients with infective endocarditis complicated by perivalvular abscess Can. Med. Assoc. J., July 1, 2002; 167(1): 19 - 24. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Delay, M. Pellerin, M. Carrier, R. Marchand, P. Auger, L. P. Perrault, Y. Hebert, R. Cartier, P. Page, and L. C. Pelletier Immediate and long-term results of valve replacement for native and prosthetic valve endocarditis Ann. Thorac. Surg., October 1, 2000; 70(4): 1219 - 1223. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K Truninger, C H A. Jost, B Seifert, P R Vogt, F Follath, A Schaffner, and R Jenni Long term follow up of prosthetic valve endocarditis: what characteristics identify patients who were treated successfully with antibiotics alone? Heart, December 1, 1999; 82(6): 714 - 720. [Abstract] [Full Text]
|
|
|
|
|
|
S J D BRECKER, J R PEPPER, and S J EYKYN Aortic root abscess Heart, September 1, 1999; 82(3): 260 - 262. [Full Text] [PDF]
|
|
|
|
 |
|
 R. Choussat, D. Thomas, R. Isnard, P.-L. Michel, B. Iung, G. Hanania, P. Mathieu, M. David, T. du Roy de Chaumaray, G. De Gevigney, et al. Perivalvular abscesses associated with endocarditis: Clinical features and prognostic factors of overall survival in a series of 233 cases Eur. Heart J., February 1, 1999; 20(3): 232 - 241. [Abstract] [PDF]
|
|
|
|
|
|
N Danchin, G Retournay, O Stchepinsky, C Selton-Suty, P Voiriot, B Hoen, P Canton, J-P Villemot, P Mathieu, and F Cherrier Comparison of long term outcome in patients with or without aortic ring abscess treated surgically for aortic valve infective endocarditis Heart, February 1, 1999; 81(2): 177 - 181. [Abstract] [Full Text]
|
|
|
|
 |
|
 L. D. Berrizbeitia and W. A. Anderson ULTRAFAST COMPUTED TOMOGRAPHY IN INFECTIOUS PSEUDOANEURYSM OF THE LEFT VENTRICULAR OUTFLOW TRACT J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 138 - 139. [Full Text]
|
|
|
|
|
|
K. M. Dossche, J. J. Defauw, S. M. Ernst, T. W. Craenen, B. M. De Jongh, and A. B. de la Riviere Allograft Aortic Root Replacement in Prosthetic Aortic Valve Endocarditis: A Review of 32 Patients Ann. Thorac. Surg., June 1, 1997; 63(6): 1644 - 1649. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. F. Aranki, D. H. Adams, R. J. Rizzo, G. S. Couper, T. E. Sullivan, J. J. Collins Jr, and L. H. Cohn Determinants of Early Mortality and Late Survival in Mitral Valve Endocarditis Circulation, November 1, 1995; 92(9): 143 - 149. [Abstract] [Full Text]
|
|
|
|
|
|
Y. Okita, S. Miki, Y. Ueda, T. Tahata, T. Sakai, and K. Matsuyama Mitral Valve Replacement With a Collar-Reinforced Prosthetic Valve for Disrupted Mitral Annulus Ann. Thorac. Surg., January 1, 1995; 59(1): 187 - 189. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
