Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations

Prosthetic valve endocarditis (PVE) is a low incidence microbial infection complicating surgical valve replacements with a very high rate of early mortality. We present a series of 5 patients who required Redo surgical interventions due to PVE as a complication within the first 3 postoperative months. Initial procedures included aortic valve replacement with valved graft conduit or supra-coronary graft, isolated or combined aortic and mitral valve replacements. The diagnosis was established by transesophageal echocardiogram and computed tomography angiography. Complex surgical procedures under hypothermic femoral access cardio-pulmonary by-pass techniques for prosthetic valvular replacements with homografts, biological or mechanical valves are described. Mortality was 40%.

• Autores: Alzate, Sergio; Ríos Dueñas, Edgar Giovanny; Correa, Juan R.
• Tipo de recurso: Informe
• Fecha de publicación: 2020
• Institución: Pontificia Universidad Javeriana
• Repositorio: Repositorio Universidad Javeriana
• Idioma: eng
• OAI Identifier: oai:repository.javeriana.edu.co:10554/53975
• Acceso en línea: https://www.auctoresonline.org/images/currentissue/1595484121Galley_Proof.pdf; http://hdl.handle.net/10554/53975; https://doi.org/10.31579/jtcs.2020/010
• Palabra clave: Aortic Valve Prostheses; Surgical Aortic Valve Replacement; Prosthetic Endocarditis; Postoperative Complications; Prosthesis-Related Infections
• License: Atribución-NoComercial 4.0 Internacional