Document Detail

Complete morphologic and functional resolution of endocarditis of a Toronto stentless porcine bioprosthesis: a study by serial transesophageal echocardiography.
MedLine Citation:
PMID:  9487475     Owner:  NLM     Status:  MEDLINE    
Prosthetic valve endocarditis is a serious complication after valve replacement with an incidence of 0.8% for both mechanical and bioprosthetic valves. The new Toronto stentless porcine valve (SPV) for aortic replacement offers promising early results in hemodynamics and a low incidence of valve-related complications. The yearly incidence of bacterial endocarditis was reported to be 1% to 1.5%. Though complications such as a perivalvular abscess or anular dehiscence require immediate surgery, a conservative management of infective endocarditis may be possible in carefully selected cases. This is the case of a patient with late prosthetic valve endocarditis of a Toronto SPV bioprosthesis, who, in spite of large vegetations on all three valve cusps, responded well to conservative treatment. This response was monitored through repeated transesophageal echocardiographic studies (TEE), which documented complete functional recovery of the valve.
S Schuenemann; S Andreas; H Kreuzer; G S Werner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  11     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-04-09     Completed Date:  1998-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  77-9     Citation Subset:  IM    
Department of Cardiology, Georg-August-University Goettingen, Fed. Rep. Germany.
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MeSH Terms
Aortic Valve / surgery,  ultrasonography*
Bioprosthesis / adverse effects*
Echocardiography, Transesophageal*
Endocarditis / etiology,  therapy,  ultrasonography*
Heart Valve Prosthesis / adverse effects*

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