Challenge in the management of infective endocarditis with multiple valvular involvement

被引：6

作者：

de Araujo, Izabella Rodrigues

Pereira Nunes, Maria do Carmo ^{[1
,2
]}

Gelape, Claudio Leo

Carvalho, Vinicius Tostes

Rezende Araujo Lacerda, Benone Evaristo

de Oliveira, Gustavo Brandao

Brant, Luiza Caldeira

Abreu Ferrari, Teresa Cristina

机构：

[1] Univ Fed Minas Gerais, Dept Clin Med, Fac Med, Hosp Clin, BR-30130100 Belo Horizonte, MG, Brazil

[2] Univ Fed Minas Gerais, Curso Posgrad Ciencias Saude Infectol & Med Trop, Fac Med, BR-30130100 Belo Horizonte, MG, Brazil

来源：

REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL | 2012年 / 45卷 / 02期

关键词：

Infection; Endocarditis; Surgery; Valves; NATIVE VALVE ENDOCARDITIS; PROPENSITY SCORE; EARLY SURGERY; MORTALITY;

D O I：

10.1590/S0037-86822012000200028

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ; 100103 ;

摘要：

We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic intervalvular fibrosa and died due to sepsis. We briefly discuss the indications for surgery in IE, emphasizing its role in the treatment of uncontrolled infection.

引用

页码：272 / 274

页数：3

共 10 条

[1] Early surgery in patients with infective endocarditis: A propensity score analysis [J].

Aksoy, Olcay ;

Sexton, Daniel J. ;

Wang, Andrew ;

Pappas, Paul A. ;

Kourany, Wissam ;

Chu, Vivian ;

Fowler, Vance G., Jr. ;

Woods, Christopher W. ;

Engemann, John J. ;

Corey, G. Ralph ;

Harding, Tina ;

Cabell, Christopher H. .

CLINICAL INFECTIOUS DISEASES, 2007, 44 (03) :364-372

[2]

American College of Cardiology, 2006, J Am Coll Cardiol, V48, pe1, DOI 10.1016/j.jacc.2006.05.021

[3] Current patterns of infective endocarditis in congenital heart disease [J].

Di Filippo, S. ;

Delahaye, F. ;

Semiond, B. ;

Celard, M. ;

Henaine, R. ;

Ninet, J. ;

Sassolas, F. ;

Bozio, A. .

HEART, 2006, 92 (10) :1490-1495

[4]

GERSONY WM, 1993, CIRCULATION, V87, P121

[5] Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009) [J].

Habib, Gilbert ;

Hoen, Bruno ;

Tornos, Pilar ;

Thuny, Franck ;

Prendergast, Bernard ;

Vilacosta, Isidre ;

Moreillon, Philippe ;

Antunes, Manuel de Jesus ;

Thilen, Ulf ;

Lekakis, John ;

Lengyel, Maria ;

Mueller, Ludwig ;

Naber, Christoph K. ;

Nihoyannopoulos, Petros ;

Moritz, Anton ;

Luis Zamorano, Jose .

EUROPEAN HEART JOURNAL, 2009, 30 (19) :2369-2413

[6] Influence of diabetes mellitus on the clinical manifestations and prognosis of infective endocarditis: A report from the International Collaboration on Endocarditis - Merged Database [J].

Kourany, Wissam M. ;

Miro, Jose M. ;

Moreno, Asuncion ;

Corey, G. Ralph ;

Pappas, Paul A. ;

Abrutyn, Elias ;

Hoen, Bruno ;

Habib, Gilbert ;

Fowler, Vance G., Jr. ;

Sexton, Daniel J. ;

Olaison, Lars ;

Cabell, Christopher H. .

SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 2006, 38 (08) :613-619

[7] Analysis of the Impact of Early Surgery on In-Hospital Mortality of Native Valve Endocarditis Use of Propensity Score and Instrumental Variable Methods to Adjust for Treatment-Selection Bias [J].

Lalani, Tahaniyat ;

Cabell, Christopher H. ;

Benjamin, Daniel K. ;

Lasca, Ovidiu ;

Naber, Christoph ;

Fowler, Vance G., Jr. ;

Corey, G. Ralph ;

Chu, Vivian H. ;

Fenely, Michael ;

Pachirat, Orathai ;

Tan, Ru-San ;

Watkin, Richard ;

Ionac, Adina ;

Moreno, Asuncion ;

Mestres, Carlos A. ;

Casabe, Jose ;

Chipigina, Natalia ;

Eisen, Damon P. ;

Spelman, Denis ;

Delahaye, Francois ;

Peterson, Gail ;

Olaison, Lars ;

Wang, Andrew .

CIRCULATION, 2010, 121 (08) :1005-U49

[8] Analysis of mortality and risk factors associated with native valve endocarditis in drug users:: The importance of vegetation size [J].

Martín-Dávila, P ;

Navas, E ;

Fortún, J ;

Moya, JL ;

Cobo, J ;

Pintado, V ;

Quereda, C ;

Jiménez-Mena, M ;

Moreno, S .

AMERICAN HEART JOURNAL, 2005, 150 (05) :1099-1106

[9] Profile of infective endocarditis at a tertiary care center in Brazil during a seven-year period: prognostic factors and in-hospital outcome [J].

Pereira Nunes, Maria Carmo ;

Gelape, Claudio Leo ;

Abreu Ferrari, Teresa Cristina .

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2010, 14 (05) :E394-E398

[10]

THUNY F, 2009, EUR HEART J 0326

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