By Henryk Siniawski
Active infective endocarditis is among the such a lot critical illnesses of the center. an infection frequently explanations periannular abscess, and should additionally unfold to impact the mitral valve constructions. This worry includes a excessive mortality price and valve alternative through extensive care and antibiotic therapy could be the merely choice to store patientsвЂ™ lives. critical hemodynamic melancholy brought on by bacterial surprise, is this present day not a counter-indication, and the second one significant chance issue, that of postoperative reinfection, has been tremendously lowered by utilizing homografts and new valve prostheses which are immune to bacterial an infection. well timed operation, ahead of complicated destruction of cardiac constructions happens, achieves a far greater expense of survival.
This evaluation of the result of surgery of lively infective endocarditis used to be played on the German center Institute Berlin. It specializes in preoperative research and proposes a brand new class of this endocarditic disease.
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Extra resources for Active Infective Aortic Valve Endocarditis with Infection Extension: Clinical Features, Perioperative Echocardiographic Findings and Results of Surgical ... in der Herz-, Thorax- und GefГ¤Гџchirurgie)
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Early stage of jet lesion in parasternal long axis echocardiographic view. 1: Area of jet collision with anterior mitral leaflets, 2: left atrium, 3: aortic regurgitation jet, 4: right ventricle, 5: aorta RV LV 1 LA Figure 14. Early stage of jet lesion. Echocardiogram taken from modified four-chamber view demonstrating lesion on AML (1) seen from the left ventricular outflow tract. 22 1 LA S OT AO Figure 15. Moderately extended jet lesion. Echocardiogram taken in transesophageal mode of investigation demonstrates up to 1 cm² perforation of the AML (1).
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