PMID- 8089568
OWN - NLM
STAT- MEDLINE
DCOM- 19941019
LR  - 20110727
IS  - 0369-4739 (Print)
IS  - 0369-4739 (Linking)
VI  - 42
IP  - 7
DP  - 1994 Jul
TI  - [Surgical treatment of infective endocarditis in patients with congenital heart 
      disease].
PG  - 1032-7
AB  - From 1981 to March 1993, 21 patients underwent surgical treatment for infective 
      endocarditis (IE) associated with congenital heart disease (CHD). We evaluated 
      the surgical results with regard to various factors, including microorganisms, 
      pre- and postoperative complications, the correlation between CHD and the 
      infective focus in the valve, the operative methods and surgical results. 
      Underlying CHD included ventricular septal defect (VSD) in 15 (71.5%), persistent 
      ductus arteriosus (PDA) in 2 (9.5%), tetralogy of Fallot (TF) in 2 (9.5%) and 
      incomplete endocardial cushion defect (IECD) in 2 patients (9.5%). Microorganisms 
      were detected in 71.4% of the patients, including streptococcus in 11 patients 
      (52.4%), staphylococcus in 2 (9.5%) and gram-negative bacillin in 2 (9.5%). 
      Embolism or infarction was noted preoperatively in 5 patients (23.8%) and was 
      located in the kidney in 4 patients, the leg in 2, and in the liver and lung in 1 
      patient each. Among 15 patients with VSD, the lesion of IE was seen on the left 
      side of the heart in 11 patients, on the right side in 3 and on both sides in 1. 
      The PDA and IECD were seen on the left side in 2 patients each, but the IE focus 
      of the 2 patients with TF was on the left side in one and on both sides in the 
      other patient. Aortic valve replacement was performed in 17 patients, mitral 
      valve replacement in 3, tricuspid valve plasty in 2, tricuspid annuloplasty in 1 
      and pulmonary valve resection in 2 patients. The operative mortality was 4.8% and 
      there were no reoperations or late deaths.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Tanaka, S
AU  - Tanaka S
AD  - Department of Cardiovascular Surgery, Tokyo Women's Medical College, Japan.
FAU - Hachida, M
AU  - Hachida M
FAU - Kitamura, M
AU  - Kitamura M
FAU - Ohtsuka, G
AU  - Ohtsuka G
FAU - Shimamura, Y
AU  - Shimamura Y
FAU - Nishida, H
AU  - Nishida H
FAU - Endo, M
AU  - Endo M
FAU - Hashimoto, A
AU  - Hashimoto A
FAU - Koyanagi, H
AU  - Koyanagi H
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Nihon Kyobu Geka Gakkai Zasshi
JT  - [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
JID - 19130180R
SB  - IM
MH  - Adult
MH  - Ductus Arteriosus, Patent/complications
MH  - Endocarditis, Bacterial/complications/*surgery
MH  - Female
MH  - Heart Defects, Congenital/*complications
MH  - Heart Septal Defects, Ventricular/complications
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Tetralogy of Fallot/complications
EDAT- 1994/07/01 00:00
MHDA- 1994/07/01 00:01
CRDT- 1994/07/01 00:00
PHST- 1994/07/01 00:00 [pubmed]
PHST- 1994/07/01 00:01 [medline]
PHST- 1994/07/01 00:00 [entrez]
PST - ppublish
SO  - Nihon Kyobu Geka Gakkai Zasshi. 1994 Jul;42(7):1032-7.