Document Detail


Hypothesis: new concepts on the pathogenesis of early prosthetic valve endocarditis.
MedLine Citation:
PMID:  7144637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the years 1970-1980, 697 patients had valve replacement surgery at our institution. Thirty patients subsequently developed prosthetic valve endocarditis (P.V.E.). Reexamination of the native valves of 25 of these patients revealed histopathological evidence of thromboendocarditis in 7, 5 of whom subsequently developed early P.V.E. In 3 out of 25 matched controls in whom P.V.E. was not diagnosed clinically, similar pathological findings were found; these patients all had fever pre- or post-operatively and were treated with a short antibacterial course, but no definite clinical diagnosis was made. We suggest that there is a close relationship between subclinical thromboendocarditis on the native valve and the early development of infective endocarditis on the implanted artificial valve.
Authors:
E Leitersdorf; G Friedman; D Gozal; A Appelbaum; T Sacks; I Levij
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical hypotheses     Volume:  9     ISSN:  0306-9877     ISO Abbreviation:  Med. Hypotheses     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1983-01-19     Completed Date:  1983-01-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505668     Medline TA:  Med Hypotheses     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  325-30     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Endocarditis, Bacterial / pathology*
Endocardium / pathology
Heart Valve Prosthesis*
Heart Valves / pathology
Humans
Postoperative Complications / pathology
Thrombosis / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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