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 month...

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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
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_4fda1f5cea474c22de640fc014eca632
oai_identifier_str oai:repository.javeriana.edu.co:10554/53975
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
title Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
spellingShingle Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
Aortic Valve Prostheses
Surgical Aortic Valve Replacement
Prosthetic Endocarditis
Postoperative Complications
Prosthesis-Related Infections
title_short Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
title_full Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
title_fullStr Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
title_full_unstemmed Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
title_sort Prosthetic endocarditis, clinical and surgical insights of lifethreatening situations
dc.creator.fl_str_mv Alzate, Sergio
Ríos Dueñas, Edgar Giovanny
Correa, Juan R.
dc.contributor.author.none.fl_str_mv Alzate, Sergio
Ríos Dueñas, Edgar Giovanny
Correa, Juan R.
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
dc.subject.keyword.spa.fl_str_mv Aortic Valve Prostheses
Surgical Aortic Valve Replacement
Prosthetic Endocarditis
Postoperative Complications
Prosthesis-Related Infections
topic Aortic Valve Prostheses
Surgical Aortic Valve Replacement
Prosthetic Endocarditis
Postoperative Complications
Prosthesis-Related Infections
description 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%.
publishDate 2020
dc.date.created.none.fl_str_mv 2020-07-09
dc.date.accessioned.none.fl_str_mv 2021-06-08T18:32:11Z
dc.date.available.none.fl_str_mv 2021-06-08T18:32:11Z
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_93fc
format http://purl.org/coar/resource_type/c_93fc
dc.identifier.spa.fl_str_mv https://www.auctoresonline.org/images/currentissue/1595484121Galley_Proof.pdf
dc.identifier.issn.spa.fl_str_mv 2693-2156
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/53975
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.31579/jtcs.2020/010
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://www.auctoresonline.org/images/currentissue/1595484121Galley_Proof.pdf
http://hdl.handle.net/10554/53975
https://doi.org/10.31579/jtcs.2020/010
identifier_str_mv 2693-2156
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Thoracic Disease and Cardiothoracic Surgery
dc.relation.citationvolume.spa.fl_str_mv 1
dc.relation.citationissue.spa.fl_str_mv 2
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
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dc.format.spa.fl_str_mv PDF
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institution Pontificia Universidad Javeriana
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Alzate, SergioRíos Dueñas, Edgar GiovannyCorrea, Juan R.Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades2021-06-08T18:32:11Z2021-06-08T18:32:11Z2020-07-09https://www.auctoresonline.org/images/currentissue/1595484121Galley_Proof.pdf2693-2156http://hdl.handle.net/10554/53975https://doi.org/10.31579/jtcs.2020/010instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengProsthetic endocarditis, clinical and surgical insights of lifethreatening situationsArtículo de revistahttp://purl.org/coar/resource_type/c_93fcAortic Valve ProsthesesSurgical Aortic Valve ReplacementProsthetic EndocarditisPostoperative ComplicationsProsthesis-Related InfectionsProsthetic 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%.Revista Internacional - No indexadaJournal of Thoracic Disease and Cardiothoracic Surgery12LICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/53975/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessORIGINALProsthetic endocarditis, clinical and surgical insights of lifethreatening situations..pdfProsthetic endocarditis, clinical and surgical insights of lifethreatening situations..pdfArtículoapplication/pdf1295751http://repository.javeriana.edu.co/bitstream/10554/53975/1/Prosthetic%20endocarditis%2c%20clinical%20and%20surgical%20insights%20of%20lifethreatening%20situations..pdf82b4a63167ee830126113dab99632d9dMD51embargoed access|||9999-06-06THUMBNAILProsthetic endocarditis, clinical and surgical insights of lifethreatening situations..pdf.jpgProsthetic endocarditis, clinical and surgical insights of lifethreatening situations..pdf.jpgIM Thumbnailimage/jpeg12542http://repository.javeriana.edu.co/bitstream/10554/53975/3/Prosthetic%20endocarditis%2c%20clinical%20and%20surgical%20insights%20of%20lifethreatening%20situations..pdf.jpg3049e19bb4cf3aea537b49855eb7002eMD53open access10554/53975oai:repository.javeriana.edu.co:10554/539752021-07-14 16:39:51.009Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.coTElDRU5DSUEgWSBBVVRPUklaQUNJw5NOIERFIExPUyBBVVRPUkVTIFBBUkEgUFVCTElDQVIgWSBQRVJNSVRJUiBMQSBDT05TVUxUQSBZIFVTTy4KClBhcnRlIDEuIFTDqXJtaW5vcyBkZSBsYSBsaWNlbmNpYSBnZW5lcmFsIHBhcmEgcHVibGljYWNpw7NuIGRlIG9icmFzIGVuIGVsIHJlcG9zaXRvcmlvIGluc3RpdHVjaW9uYWwKQ29tbyB0aXR1bGFyIChlcykgZGVsIGRlcmVjaG8gZGUgYXV0b3IsIGNvbmZpZXJvIChlcmltb3MpIGEgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgdW5hIGxpY2VuY2lhIG5vIGV4Y2x1c2l2YSwgbGltaXRhZGEgeSBncmF0dWl0YSBzb2JyZSBsYSBvYnJhIHF1ZSBzZSBpbnRlZ3JhcsOhIGVuIGVsIFJlcG9zaXRvcmlvIEluc3RpdHVjaW9uYWwsIHF1ZSBzZSBhanVzdGEgYSBsYXMgc2lndWllbnRlcyBjYXJhY3RlcsOtc3RpY2FzOgphKSAgICAgIEVzdGFyw6EgdmlnZW50ZSBhIHBhcnRpciBkZSBsYSBmZWNoYSBkZSBpbmNsdXNpw7NuIGVuIGVsIHJlcG9zaXRvcmlvLCBwb3IgdW4gcGxhem8gZGUgNSBhw7FvcywgcXVlIHNlcsOhbiBwcm9ycm9nYWJsZXMgaW5kZWZpbmlkYW1lbnRlIHBvciBlbCB0aWVtcG8gcXVlIGR1cmUgZWwgZGVyZWNobyBwYXRyaW1vbmlhbCBkZWwgYXV0b3IuIEVsIGF1dG9yIHBvZHLDoSBkYXIgcG9yIHRlcm1pbmFkYSBsYSBsaWNlbmNpYSBzb2xpY2l0w6FuZG9sbyBhIGxhIFVuaXZlcnNpZGFkIHBvciBlc2NyaXRvLgpiKSAgICAgIEF1dG9yaXphIGEgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgYSBwdWJsaWNhciBsYSBvYnJhIGVuIGRpZ2l0YWwsIGNvbm9jaWVuZG8gcXVlLCBkYWRvIHF1ZSBzZSBwdWJsaWNhIGVuIEludGVybmV0LCBwb3IgZXN0ZSBoZWNobyBjaXJjdWxhIGNvbiB1biBhbGNhbmNlIG11bmRpYWwuCmMpICAgICAgTG9zIGF1dG9yZXMgYWNlcHRhbiBxdWUgbGEgYXV0b3JpemFjacOzbiBzZSBoYWNlIGEgdMOtdHVsbyBncmF0dWl0bywgcG9yIGxvIHRhbnRvIHJlbnVuY2lhbiBhIHJlY2liaXIgYmVuZWZpY2lvIGFsZ3VubyBwb3IgbGEgcHVibGljYWNpw7NuLCBkaXN0cmlidWNpw7NuLCBjb211bmljYWNpw7NuIHDDumJsaWNhIHkgY3VhbHF1aWVyIG90cm8gdXNvIHF1ZSBzZSBoYWdhIGVuIGxvcyB0w6lybWlub3MgZGUgbGEgcHJlc2VudGUgbGljZW5jaWEgeSBkZSBsYSBsaWNlbmNpYSBkZSB1c28gY29uIHF1ZSBzZSBwdWJsaWNhLgpkKSAgICAgIExvcyBhdXRvcmVzIG1hbmlmaWVzdGFuIHF1ZSBzZSB0cmF0YSBkZSB1bmEgb2JyYSBvcmlnaW5hbCBzb2JyZSBsYSBxdWUgdGllbmVuIGxvcyBkZXJlY2hvcyBxdWUgYXV0b3JpemFuIHkgcXVlIHNvbiBlbGxvcyBxdWllbmVzIGFzdW1lbiB0b3RhbCByZXNwb25zYWJpbGlkYWQgcG9yIGVsIGNvbnRlbmlkbyBkZSBzdSBvYnJhIGFudGUgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgeSBhbnRlIHRlcmNlcm9zLiBFbiB0b2RvIGNhc28gbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgc2UgY29tcHJvbWV0ZSBhIGluZGljYXIgc2llbXByZSBsYSBhdXRvcsOtYSBpbmNsdXllbmRvIGVsIG5vbWJyZSBkZWwgYXV0b3IgeSBsYSBmZWNoYSBkZSBwdWJsaWNhY2nDs24uCmUpICAgICAgQXV0b3Jpem8gKGFtb3MpIGEgbGEgVW5pdmVyc2lkYWQgcGFyYSBpbmNsdWlyIGxhIG9icmEgZW4gbG9zIMOtbmRpY2VzIHkgYnVzY2Fkb3JlcyBxdWUgZXN0aW1lbiBuZWNlc2FyaW9zIHBhcmEgcHJvbW92ZXIgc3UgZGlmdXNpw7NuLgpmKSAgICAgIEFjZXB0byAoYW1vcykgcXVlIGxhIFBvbnRpZmljaWEgVW5pdmVyc2lkYWQgSmF2ZXJpYW5hIHB1ZWRhIGNvbnZlcnRpciBlbCBkb2N1bWVudG8gYSBjdWFscXVpZXIgbWVkaW8gbyBmb3JtYXRvIHBhcmEgcHJvcMOzc2l0b3MgZGUgcHJlc2VydmFjacOzbiBkaWdpdGFsLgpnKSAgICAgIEF1dG9yaXpvIChhbW9zKSBxdWUgbGEgb2JyYSBzZWEgcHVlc3RhIGEgZGlzcG9zaWNpw7NuIGRlbCBww7pibGljbyBlbiBsb3MgdMOpcm1pbm9zIGF1dG9yaXphZG9zIGVuIGxvcyBsaXRlcmFsZXMgYW50ZXJpb3JlcyBiYWpvIGxvcyBsw61taXRlcyBkZWZpbmlkb3MgcG9yIGxhIHVuaXZlcnNpZGFkIGVuIGxhcyDigJxDb25kaWNpb25lcyBkZSB1c28gZGUgZXN0cmljdG8gY3VtcGxpbWllbnRv4oCdIGRlIGxvcyByZWN1cnNvcyBwdWJsaWNhZG9zIGVuIFJlcG9zaXRvcmlvIEluc3RpdHVjaW9uYWwgUFVKICwgY3V5byB0ZXh0byBjb21wbGV0byBzZSBwdWVkZSBjb25zdWx0YXIgZW4gaHR0cDovL3JlcG9zaXRvcnkuamF2ZXJpYW5hLmVkdS5jby8KClNJIEVMIERPQ1VNRU5UTyBTRSBCQVNBIEVOIFVOIFRSQUJBSk8gUVVFIEhBIFNJRE8gUEFUUk9DSU5BRE8gTyBBUE9ZQURPIFBPUiBVTkEgQUdFTkNJQSBPIFVOQSBPUkdBTklaQUNJw5NOLCBDT04gRVhDRVBDScOTTiBERSBMQSBQT05USUZJQ0lBIFVOSVZFUlNJREFEIEpBVkVSSUFOQSwgRUwgKExPUykgQVVUT1IoRVMpIEdBUkFOVElaQShNT1MpIFFVRSBTRSBIQSBDVU1QTElETyBDT04gTE9TIERFUkVDSE9TIFkgT0JMSUdBQ0lPTkVTIFJFUVVFUklET1MgUE9SIEVMIFJFU1BFQ1RJVk8gQ09OVFJBVE8gTyBBQ1VFUkRPLgo=