Prosthetic valve endocarditis: about 14 cases

Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery. The aim of this study is to determine the diagnostic and therapeutic management for PVE. It's a retrospective study about 14 cases of PVE operated in the department of cardiovascular surgery of la Rabta hospital bet...

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Bibliographic Details
Published in:	Tunisie Medicale Vol. 86; no. 11; p. 978
Main Authors:	Ben Omrane, Skander, Kaouel, Karim, Ben Ali, Walid, Ben Mrad, Malek, Ziadi, Jalel, Anis Rjeb, Mohamed, Denguir, Raouf, Kalfat, Taoufik, Khayati, Adel
Format:	Journal Article
Language:	French
Published:	Tunisia 01-11-2008
Subjects:	Adult Aortic Valve - microbiology Aortic Valve - pathology Aortic Valve - surgery Endocarditis, Bacterial - microbiology Endocarditis, Bacterial - mortality Endocarditis, Bacterial - surgery Female Heart Valve Prosthesis Implantation - adverse effects Humans Male Middle Aged Mitral Valve - microbiology Mitral Valve - pathology Mitral Valve - surgery Prosthesis Failure Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - mortality Prosthesis-Related Infections - surgery Q Fever - complications Q Fever - mortality Q Fever - surgery Reoperation Retrospective Studies Staphylococcal Infections - complications Staphylococcal Infections - mortality Staphylococcal Infections - surgery
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Summary:	Prosthetic valve endocarditis (PVE) is a serious complication of valve surgery. The aim of this study is to determine the diagnostic and therapeutic management for PVE. It's a retrospective study about 14 cases of PVE operated in the department of cardiovascular surgery of la Rabta hospital between January 1996 and December 2006. In two cases, surgery was performed emergent, in the remnant cases surgery was elective. The coagulase-negative staphylococcus (CNS) is the predominant cause of these PVE.Surgery consisted on seven mitral prosthesis replacements and seven aortic prosthesis replacements.Hospital mortality was 50%. In conclusion attention should be made to prevent endocarditis when possible. In case of PVE, an early diagnosis a leads to earlier application of appropriate therapies and improved outcome.
ISSN:	0041-4131