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[Surgical treatment of infective endocarditis]
1Department of Cardiovascular Surgery, First Clinical Medical College, Xi'an Medical University, Xi'an 710061.
Objective:
To summarize the experience of surgical treatment of infective endocarditis in 28 patients.
Method:
Open heart surgery under cardiopulmonary bypass was performed in all patients: valve replacement (24), VSD repair and tricuspid annuloplasty (3), and Bentall (1) 17 mechanical and 7 homograft valves were placed.
Result:
Two died in hospital, 4 died from infection, 1 had periprosthetic leakage and incompetence respectively. 22 survivors showed improved heart function.
Conclusion:
Combined medication and surgical treatment is superior to antibiotic treatment in long-term survival and convalescence. Infective reccurrence, reinfection and advanced heart failure are major risk factors after operation.