Document Detail

Periannular extension of infective endocarditis.
MedLine Citation:
PMID:  19471219     Owner:  NLM     Status:  MEDLINE    
The periannular extension of infection is one of the most dangerous complications in patients with infective endocarditis (IE) and can significantly impact on the prognoses of these patients. The accurate detection and delineation of periannular complications are crucial in patient management, which may also provide guidance for surgical intervention. Echocardiography is the preferred imaging examination in both native and prosthetic valvular infections. However, it remains a great challenge for surgeons to successfully treat infections from panresistant organisms. Although staphylococci are reported to be the most common cause of aorto-cavitary fistulae, the association between this pathogen and clinical characteristics and patient outcome remains to be proven. Conversely, it has been observed that S. aureus is the most common cause of aorto-cavitary fistulae in patients with native valve endocarditis. The optimal management of patients with periannular extension of IE requires a multidisciplinary approach, with surgical input being an integral part of the treatment associated with the evolution of complex reconstructive techniques.
Ning Kang; Song Wan; Calvin S H Ng; Malcolm J Underwood
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  15     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-27     Completed Date:  2009-08-25     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  74-81     Citation Subset:  IM    
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, People's Republic of China.
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MeSH Terms
Abscess / diagnosis,  microbiology*,  therapy
Aneurysm, False / diagnosis,  microbiology*,  therapy
Anti-Bacterial Agents / therapeutic use
Cardiac Surgical Procedures
Endocarditis, Bacterial / complications,  diagnosis,  microbiology*,  therapy
Fistula / diagnosis,  microbiology*,  therapy
Heart Aneurysm / diagnosis,  microbiology*,  therapy
Heart Valve Diseases / diagnosis,  microbiology*,  therapy
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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

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