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Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.

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Updated: May 8, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

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Single and multiple valve surgery in native valve infective endocarditis.

Tae Sik Kim1, Chan-Young Na, Sam Sae Oh

  • 1Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea.

The Korean Journal of Thoracic and Cardiovascular Surgery
|September 5, 2013
PubMed
Summary

Multiple valve surgery in native infective endocarditis (IE) does not impact mortality or morbidity. The number of valves repaired in native IE surgery appears unrelated to patient outcomes.

Keywords:
EndocarditisHeart valvesMorbidityMortalityThoracic surgery

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Area of Science:

  • Cardiovascular Surgery
  • Infective Diseases
  • Clinical Outcomes Research

Background:

  • Surgical treatment of infective endocarditis (IE) presents challenges, particularly with multiple valve involvement.
  • Evaluating outcomes is crucial for optimizing patient care.

Purpose of the Study:

  • To compare clinical outcomes of single versus multiple valve surgery in native valve IE.
  • To identify predictors of mortality and morbidity in native valve IE patients.

Main Methods:

  • Retrospective analysis of 90 patients undergoing surgery for native valve IE (1997-2011).
  • Patients categorized into single valve surgery (n=67) and multiple valve surgery (n=23) groups.
  • Mean follow-up duration of 73.1±47.4 months.

Main Results:

  • Overall surgical mortality was 4.4%.
  • No significant differences in overall survival or valve-related event-free survival between single and multiple valve surgery groups.
  • New York Heart Association class was an independent predictor of postoperative complications; multiple valve surgery was not a predictor of mortality or morbidity.

Conclusions:

  • Multiple valve surgery is not an independent predictor of mortality or morbidity in native valve IE.
  • The number of valves surgically corrected in native IE does not appear to affect perioperative or long-term outcomes.