Linked Life Data

2808493

Source:http://linkedlifedata.com/resource/pubmed/id/2808493

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1989-12-18
pubmed:abstractText
Fifteen patients were operated upon for right-sided infective endocarditis after failing medical treatment. The infection was localized sufficiently to allow reconstruction without valve replacement in 9 patients (60%). Extensive annular and tri-leaflet infections (2 pts.) or significant residual regurgitation (2 pts.) prohibited reconstruction in four patients. In the remaining two patients, the relatively low intracardiac pressures allowed isolated tricuspid or pulmonary valvectomy (1 each). The single hospital mortality (6.7%) resulted from a missed secondary lesion during reparation. Late recurrence or replacement in the valvuloplasty group was 0 in 9 patients (0%) while late replacement or death from infection occurred in 2 of 5 patients (40%) in the valvectomy and replacement groups. Right-sided endocarditis is frequently amenable to reconstruction without late recurrence. Its advantage is in establishing satisfactory hemodynamics without prosthetic replacement. Alternatively, isolated valvectomy can be occasionally performed. Simultaneous or staged prosthetic replacement is frequently required for early (associated left-sided infection) and late (right-sided dilation) hemodynamic reasons.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0021-9509
pubmed:author
pubmed:issnType
Print
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
744-8
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:articleTitle
Right-sided infective endocarditis: valvuloplasty, valvectomy or replacement.
pubmed:affiliation
Department of Surgery, East Tennessee State University, Quillen-Dishner College of Medicine, Johnson City.
pubmed:publicationType
Journal Article