Endocarditis caused by heart valve prosthesis. Apropos of 35 cases
Papola, P.; Voiriot, P.; Danchin, N.; Cherrier, F.; Villemot, J.P.; Mathieu, P.; Canton, P.; Dureux, J.B.
Annales de Cardiologie et d'Angeiologie 41(2): 63-68
1992
ISSN/ISBN: 0003-3928 PMID: 1562159 Document Number: 392483
35 cases of prosthetic valve endocarditis are reported. The diagnostic is based on clinical, echocardiographic, bacteriological and anatomical aspects. Heart failure, neurologic complications, positive culture of prosthesis, Staphylococcus aureus infection and perivalvular abscess are factors of a bad prognosis. The current therapeutic trends associate antibiotic treatment and infected prosthetic valve replacement rather for hemodynamic indications than bacteriological factors. General prognosis has a mortality of 40 p. cent. Prophylaxis of infection, although simple is necessary.