Document Detail


Infective endocarditis: outcome in surviving patients with intracardiac complications.
MedLine Citation:
PMID:  17312432     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to assess the outcome of 15 patients who survived infective endocarditis with abscesses and other intracardiac complications. METHODS: Abscesses were associated with native valve endocarditis in seven patients and prosthetic valve endocarditis in eight patients; fistulas were observed in three patients, and subaortic perforation in three patients. Sensitivity for the detection of abscesses was 42.8% and 92.8% using transthoracic and transoesophageal echocardiography, respectively. Eleven patients underwent surgical treatment with no operative mortality, whereas four patients were only medically treated. RESULTS: During follow-up (mean 8.26 years), two patients died (13%) and six recurrences (five early and one late prosthetic valve endocarditis) required re-intervention for prosthesis dysfunction (40%); an improvement in New York Heart Association class in survivors and no changes in echocardiographic lesions were observed. CONCLUSIONS: Infective intracardiac complications do not seem to significantly reduce the overall survival (87%) of patients at long-term follow-up.
Authors:
Roberto Mocchegiani; Martina Pergolini; Maura Nataloni
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  8     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-21     Completed Date:  2007-07-20     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, G.M. Lancisi Hospital, Ancona, Italy. r_mocc@yahoo.it
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MeSH Terms
Descriptor/Qualifier:
Abscess / etiology,  ultrasonography
Adult
Aged
Aneurysm, False / etiology,  ultrasonography
Aortic Valve / microbiology,  ultrasonography
Echocardiography, Transesophageal
Endocarditis, Bacterial / microbiology*,  ultrasonography
Female
Follow-Up Studies
Gram-Positive Bacterial Infections / complications*,  microbiology,  ultrasonography
Heart Atria / abnormalities,  ultrasonography
Heart Septal Defects, Ventricular / etiology,  ultrasonography
Heart Valve Prosthesis / adverse effects
Heart Ventricles / abnormalities,  ultrasonography
Humans
Italy
Male
Middle Aged
Mitral Valve / microbiology,  ultrasonography
Prosthesis-Related Infections / etiology,  ultrasonography
Recurrence
Research Design
Retrospective Studies
Sensitivity and Specificity
Survival Analysis
Vascular Fistula / etiology,  ultrasonography

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


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