Substitution of the aortic value in florid bacterial endocarditis and severe aortic valvular insufficiency
Schlosser, V.; Barmeyer, J.; Spillner, G.; Wink, K.
Münchener Medizinische Wochenschrift 118(42): 1341-1344
1976
ISSN/ISBN: 0341-3098 PMID: 825731 Document Number: 97222
Urgent operation for replacement of the aortic valve for the correction of a severe, increasing hemodynamic impairment of the output of the heart and for the removal of the septic focus in florid bacterial aortic endocarditis must be carefully thought over. 3 of our own 7 patients died. The indication is to be made largely on hemodynamic grounds when the clinical symptoms are quite clear without preoperative catheter diagnosis. Preliminary specific treatment with antibiotics and intensive follow-up treatment is necessary. Preoperative identification of bacteria in the blood, just like identification of bacteria on the excised valve, is only possible in some of the cases.