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[Surgical Treatment with Pulsed Lavage Irrigation for Infective Endocarditis]
Kotone Tsujimoto1, Hideo Yoshida, Genya Muraoka
1Department of Surgery, Kawasaki Medical School General Medical Center, Okayama, Japan.
Introduction:
Pulsed lavage irrigation (PLI) is a procedure used to wash contaminated soft tissues and prevent infection in orthopedic surgery. We applicated PLI for surgical treatment of infective endocarditis( IE).
Subjects And Methods:
From January 2017 to June 2021, 6 cases underwent surgical treatment IE using PLI. We investigated an efficacy of PLI.
Results:
Infected valves were mitral valve in 4 cases, aortic valve in 1 case, and aortic prosthetic valve in 1 case. The performed procedures were mitral valve plasty in 4 cases, aortic valve replacement in 1 case, and 1 removal of vegetation on the aortic prosthetic valve. No recurrence of IE or no deterioration of the native valve or the prosthetic valve was observed in follow-up periods.
Conclusion:
PLI was useful for surgical treatment of IE because of no recurrence of IE or no deterioration of native mitral valves or the aortic prosthetic valve.
