PMID- 6671492
OWN - NLM
STAT- MEDLINE
DCOM- 19840511
LR  - 20071115
IS  - 0046-5968 (Print)
IS  - 0046-5968 (Linking)
VI  - 13
IP  - 12
DP  - 1983 Dec
TI  - [Emergency surgical treatment of infectious endocarditis. Experience developed on 
      19 consecutive cases].
PG  - 363-6
AB  - Our experience with the emergency surgical treatment of 19 consecutive cases of 
      infective endocarditis (IE) is reported. The aortic valve was always affected, 
      either alone (n = 16) or together with the mitral valve (n = 3). All patients 
      were male. In 10 cases it was possible to identify the infecting agent (a 
      staphylococcus was found in 6). Congestive heart failure (CHF) was the principal 
      indication for surgery in 14 cases (in 6 active IE was associated). Five patients 
      (1 with CHF) underwent operative treatment because of systemic emboli. Fifteen 
      patients were in New York Heart Association (NYHA) functional class IV, 3 in 
      class III and 1 was in class II. Two patients (10.5%), both operated on for CHF, 
      died in the early postoperative period. Early prosthetic valve dehiscence 
      occurred in 2 cases, reoperation was successful in both. Follow-up of operative 
      survivors ranges between 7 and 108 months (mean = 53.24 +/- 41.89). One patients 
      died 10 months after operation with CHF following late prosthetic dehiscence. Out 
      of 16 currently surviving patients 14 are in NHYA functional class I, 1 is in 
      class II and 1 in class III. No one of them has had relapse of IE.
FAU - Massini, C
AU  - Massini C
FAU - Lamarra, M
AU  - Lamarra M
FAU - Iacobone, G
AU  - Iacobone G
FAU - Brugnami, R
AU  - Brugnami R
FAU - Bianchini, F
AU  - Bianchini F
FAU - Costantini, C
AU  - Costantini C
FAU - Noera, G
AU  - Noera G
FAU - Mannello, B
AU  - Mannello B
FAU - Palminiello, A
AU  - Palminiello A
LA  - ita
PT  - English Abstract
PT  - Journal Article
TT  - Terapia chirurgica di urgenza dell'endocardite infettiva. Esperienza svolta su 19 
      casi consecutivi.
PL  - Italy
TA  - G Ital Cardiol
JT  - Giornale italiano di cardiologia
JID - 1270331
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Emergencies
MH  - Endocarditis, Bacterial/*surgery
MH  - Follow-Up Studies
MH  - Heart Failure/etiology
MH  - Heart Valve Prosthesis
MH  - Humans
MH  - Middle Aged
MH  - Postoperative Complications/mortality
EDAT- 1983/12/01 00:00
MHDA- 1983/12/01 00:01
CRDT- 1983/12/01 00:00
PHST- 1983/12/01 00:00 [pubmed]
PHST- 1983/12/01 00:01 [medline]
PHST- 1983/12/01 00:00 [entrez]
PST - ppublish
SO  - G Ital Cardiol. 1983 Dec;13(12):363-6.