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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1995-12-5
|
| pubmed:abstractText |
The authors report the results of a multicenter study which recensed 59 cases (46 men, 13 women, average age 59.8 +/- 14 years) of valve ring abscesses defined by echocardiographic criteria alone (20 cases) or by echocardiographic and/or operative criteria (39 cases). The site of abscess was aortic (53 cases), mitral (5 cases) and tricuspid (1 case). The abscess complicated a prosthetic valve in 34 cases, occurred with a non-pathological valve in 11 cases or a pathological valve in 14 cases. Taking the 39 operated patients as a reference, the diagnostic sensitivity of transthoracic echocardiography was 25% and that of transoesophageal echocardiography: 88%. Bacterial vegetations were diagnosed with a sensitivity of 55% for transthoracic and 88% for transoesophageal echocardiography. The mediocre results of transthoracic echocardiography make transoesophageal echocardiography mandatory when there is a clinical suspicion of abscess: transoesophageal echocardiography should be systematic in prosthetic valve endocarditis and widely employed in native aortic valve endocarditis. The clinical outcome of these cases was: 39 cases were operated: global mortality of 23%, and 18 cases were treated medically, surgery having been declined for various reasons: old age (2 patients), operative risk (1 patient), patient refusal (4 patients), general condition considered to be too good to justify surgery (11 cases, including 6 sterilised abscesses diagnosed some time after the acute infectious phase). The outcome of these 18 patients, who form the biggest non-operated series of valve ring abscesses to date, was studied in detail: 4 died (18% mortality), 1 was operated secondarily for progressive valve dehiscence and 13 had a favourable outcome with an average follow-up period of 2 years.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
fre
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
|
| pubmed:issn |
0003-9683
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
88
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
321-8
|
| pubmed:dateRevised |
2009-2-13
|
| pubmed:meshHeading |
pubmed-meshheading:7487285-Abscess,
pubmed-meshheading:7487285-Adolescent,
pubmed-meshheading:7487285-Adult,
pubmed-meshheading:7487285-Aged,
pubmed-meshheading:7487285-Anti-Bacterial Agents,
pubmed-meshheading:7487285-Echocardiography,
pubmed-meshheading:7487285-Echocardiography, Transesophageal,
pubmed-meshheading:7487285-Endocarditis, Bacterial,
pubmed-meshheading:7487285-Female,
pubmed-meshheading:7487285-Follow-Up Studies,
pubmed-meshheading:7487285-Heart Valve Diseases,
pubmed-meshheading:7487285-Heart Valve Prosthesis,
pubmed-meshheading:7487285-Humans,
pubmed-meshheading:7487285-Male,
pubmed-meshheading:7487285-Middle Aged,
pubmed-meshheading:7487285-Prognosis,
pubmed-meshheading:7487285-Prosthesis-Related Infections,
pubmed-meshheading:7487285-Survival Analysis,
pubmed-meshheading:7487285-Treatment Outcome
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
[Valve ring abscesses: apropos of 59 cases. A multicenter study].
|
| pubmed:affiliation |
Département de cardiologie, CHRU d'Amiens, Salouël.
|
| pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract,
Case Reports,
Multicenter Study
|